Clinical Documentation Spec, Marshall Medical Centers North, Full-time, Days
HH Health System•Guntersville, AL
•Onsite
About The Position
A Documentation Improvement Specialist is responsible for coordination of the review of concurrent inpatient clinical documentation. The Documentation Specialist works with providers to ensure that clinical disease processes are accurately documented and that the documentation appropriately reflects the patient's severity of illness. The Documentation Improvement Specialist functions under the direct authority and supervision of the Director of Health Information Management.
Requirements
- Associate degree or other two year college equivalent
- Graduate from an accredited Health Information Technician (HIT) program, Health Information Management (HIM) program or RN education program, BSN preferred
- Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) with a minimum of 2 years experience in supervision or management with 1 - 3 years of coding experience
- Registered Nurse license with a minimum of five (5) years nursing experience in med/surg, critical care, or emergency services
Responsibilities
- Daily management of concurrent documentation improvement functions
- Coordination of concurrent coding clarification issues with physicians
- Timely reporting of concurrent coding/documentation improvement efforts
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
