Clinical Documentation Specialist - tgmctest

The Clinical Documentation Specialist is responsible for ensuring that clinical documentation within the health system accurately reflects the services and care provided to patients and is consistent with the criteria for high quality clinical documentation. The Specialist acts as a coordinator of physician clinical documentation, coding, reimbursement processes in working towards agreed upon quality and productivity targets for all services in the system. The Clinical Documentation Specialist identifies monitors, and reports opportunities for quality and performance improvement to the appropriate department. The Clinical Documentation Specialist takes an active role in performance improvement activities as it relates to documentations improvement.

Qualifications:

ICD-9CM hospital based coding experience preferred

Credentialed as an RN or LPN or PA or NP or RHIA or RHIT, or CCS required

CCM or CPHQ certification preferred

Critical care or strong medical/surgical background required or surgical background if assigned to surgical areas; 3-5 years in clinical practice preferred

Familiar with government health care reimbursement systems

Have experience working collaboratively with diverse groups in a health care environment

Be successful in interacting effectively with physicians - verbal and written

Basic computer literacy is required; experience with Windows, word processing, spreadsheets, graphics, and databases is preferred

Ability to analyze large amounts of data to identify trends

Experience with writing technical reports is desirable

PI254227173