Clinical Documentation Specialist

VH Health Information Management - 107181 Winchester, Virginia Full-Time (Primarily Day Shifts)

COVID-19 VACCINE INFORMATION: To protect our patients, our workforce and our community, Valley Health is requiring that all newly hired employees and internal transfers (current employees requesting internal transfers) be fully vaccinated. Newly hired Applicants (those not currently employed by Valley Health) who have been offered a position will have to provide documentation of their vaccination status at the time of their Employee Health appointment. For internal transfers, Employee Health will contact you if they have questions around your vaccination status. Valley Health has a process for applicants who have been offered a position to request an exemption or deferral for medical or religious reasons. To search for vaccine locations, visit


  • Entity: Valley Health Corporate
  • Shift: Day

Who We Are

Valley Health System is a not-for-profit network of hospitals, urgent cares, physician practices, and services. Expanding across Virginia, West Virginia, and Maryland, we are devoted to the health of all who call our 18-county area home.

A vital resource for healthcare, we are the region’s largest employer, a dependable community partner, and are at the leading edge of clinical innovations.

We are looking for passionate, innovative, and caring people who will each bring their unique skills and perspectives to our workplace.

What You Will Do:

Clinical Documentation Specialist collaborates extensively with physicians, nursing staff, other patient caregivers, and medical records coding staff / HIM to improve quality and completeness of documentation of care provided and coded; facilitates concurrent modifications to clinical documentation to ensure accurate clinical severity and services rendered to all patients; supports timely, accurate, and complete documentation of clinical information used for measuring and reporting physician and facility outcomes; educates all members of the patient care team on an ongoing basis.

What You Will Bring:


Bachelors Nursing (BSN) required, or obtain within three years of hire

Minimum of five (5) years recent clinical nursing experience required, acute care preferred

Certification & Licensures
Registered Nurse license in Commonwealth of Virginia required
CCS or CPHM or CCDS certification required, or obtain within three years of hire

What You Will Get:

- Competitive salary
- Flexible scheduling
- Health Insurance
- Paid Time Off
- Wellness Program
- Tuition Assistance
- Retirement Plan
- Life Insurance

*some benefits are subject to change due to job status

We celebrate, support, and thrive on our differences for the benefit of our employees, our patients, and the communities we serve.
We are neighbors caring for neighbors, and our goal is always to help those we serve get well, feel well, and stay well.


Criminal Background Checks
VA State Police
3rd party Background Check

FLSA Classification


Physical Demands
6 A Customer Service