Clin Documentation Spec/UKHC

Job Title
Clin Documentation Spec/UKHC


Requisition Number
RE52090


Working Title
Clinical Documentation Specialist


Department Name
H4021: Revenue Management - Coding & Documentation


Work Location
Lexington, KY


Grade Level
11


Salary Range
$54,080-95,056/year


Type of Position
Staff


Position Time Status
Full-Time


Required Education

ADN



Click here for more information about equivalencies:
https://hr.uky.edu/employment/working-uk/equivalencies


Required Related Experience

7 yrs



Required License/Registration/Certification

Registered Nurse (RN)



Physical Requirements

The physical requirements of this position include: lifting, pushing, and/or pulling objects up to 10lbs; regularly walking or standing with objects up to 10lbs; regularly sitting at a computer workstation for extended periods of time with repetitive motions (such as typing); and occasional (<10% of the time) job-related travel.



Shift

Primarily Monday through Friday; 8:00 am – 5:00 pm; with occasional evenings, nights, and holidays per business needs. This is a hybrid position.



Job Summary

The Clinical Documentation Specialists review physician documentation to identify the most appropriate diagnosis-related group (DRG). When evidence supports additional diagnoses not documented in a manner that can be used in final ICD-10 codes, Clinical Documentation Specialists clarify with physician staff to make sure diagnoses are appropriately documented in the medical record. This function is vital to capture the most accurate clinical picture of severity of illness, risk of mortality, co-morbidities, and complications. This position also assists in the capture of present on admission diagnoses.

This is a hybrid work position involving both on-site and remote work.



Skills / Knowledge / Abilities

The ideal candidate will have the ability to manage multiple tasks and/or projects while accurately completing routine functions in a fast-paced, high intensity, professional work environment. This individual will also have knowledge of nursing theory; proficiency utilizing Microsoft Office applications; excellent attention to detail; exceptional planning and organizational skills, written and verbal communication skills, and time management and judgment abilities; the ability to solve routine problems and manage resources; and a demonstrated ability to provide superior customer service.



Does this position have supervisory responsibilities?
No


Preferred Education/Experience

A Bachelor’s degree and at least five years of nursing experience are preferred.



Deadline to Apply
11/02/2025


Our University Community

We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors, the University of Kentucky is a Tobacco & Drug Free campus.

The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status.

Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.