The Clinical Documentation Specialist (CDS) is responsible for working with the Medical Staff and other healthcare professionals to improve the clinical documentation in the BRHC medical records. The CDS must be able to define problems, collect data, establish facts, and draw valid conclusions. The CDS must be able to interpret and deal with abstract and concrete variables and be able to effectively present information and respond to questions from physicians, other healthcare professionals, and hospital leadership.
a.) Graduate from an accredited school of nursing or accredited Health Information Management Program
a.) RN, RHIA, RHIT, or CCS