Clinical Documentation Specialist RN (Registered Nurse)

Williamsburg, VA
Apr 01, 2019
May 02, 2019
Full Time

Education Level
RN-Associate's Degree OR
RN-Diploma (Non-degree)

Required: Acute Care - 5 years

Preferred: Coding - 5 years

Required: Registered Nurse

Preferred: None, unless noted in the "Other" section below

Required: Communication, Coordination, Critical Thinking, Judgment and Decision Making, Microsoft Office, Project Management, Social Perceptiveness, Speaking, Technology/Computer, Writing

Preferred: None, unless noted in the "Other" section below

Sentara Williamsburg Regional Medical Center is hiring a full time Clinical Documentation Specialist Registered Nurse (RN).

Acute Care Skills Required
Five (5) years of current bedside experience in medical surgical or intensive care setting.

Position Overview
  • Responsible for concurrent review of provider in-patient medical record documentation from admission to discharge.
  • Ensuring that appropriate clinical severity of illness and risk mortality is captured for the level of service.
  • Providing education and training as needed to the medical staff.
  • Utilization of software to code documentation ICD-10 codes.
  • Note: Extensive Training is provided for this position.

Sentara Williamsburg Regional Hospital (SWRMC) Overview
SWRMC, a certified primary stroke center, has 45 licensed beds and features the latest healthcare technology, serving the region with the life-saving capabilities of an ultra modern medical center. Our hospital offers a full range of medical care from emergency heart catheterization to all-inclusive obstetrics care where patients are able to stay in one room. The hospital also provides advanced imaging and "smart" operating rooms. SWRMC has also achieved Magnet® recognition, the nation's highest honor for excellence in nursing.

Sentara Overview
For more than a decade, Modern Healthcare magazine has ranked Sentara as one of the nation's top integrated healthcare systems. Our not-for-profit system proudly includes advanced imaging centers, nursing and assisted-living centers, outpatient campuses, physical therapy and rehabilitation services, home health and hospice agency, a 3,800-provider medical staff and four medical groups. In addition, we provide medical transport ambulances and Nightingale air ambulance, and we extend health insurance to 445,000 people through Optima Health, our award-winning health plan.

Sentara Benefits
As the third largest employer in Virginia, Sentara Healthcare was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:
  • Medical, Dental, and Vision Insurance
  • Paid Annual Leave, Sick Leave
  • Flexible Spending Accounts
  • Retirement funds with matching contribution
  • Supplemental insurance policies, including legal, Life Insurance and AD&D among others
  • Work Perks program including discounted movie and theme park tickets among other great deals
  • Opportunities for further advancement within our organization

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For information about our employee benefits, please visit:

Join our team! We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development and growth!

Acute Care experience in Medical/Surgical or ICU. All Registered Nurses who do not have their BSN will be required to sign a BSN Agreement committing to successfully obtain their BSN within 5 years of hire.


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