Clinical Documentation Specialist III
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About The Position
The Clinical Document Specialist III at Johns Hopkins Health System plays a crucial role in enhancing the quality and completeness of concurrent medical record documentation. This position is essential for ensuring accurate inpatient coding, APR-DRG assignment, and assessing severity and risk of mortality levels. The specialist will engage with physicians and staff to obtain the necessary documentation, thereby facilitating improved patient care and operational efficiency. The role requires the development and maintenance of provider engagement, ensuring that all service lines assigned operate effectively and efficiently. Additionally, the Clinical Document Specialist will collaborate with the CDI educator to develop quarterly content and provide education related to service lines as needed. In this position, the Clinical Document Specialist will be responsible for reviewing medical records, identifying documentation gaps, and working closely with healthcare providers to ensure that all necessary information is captured accurately. This role is vital in supporting the overall goals of the health system, which is dedicated to providing high-quality patient care and improving health outcomes. The specialist will also be involved in ongoing education and training to stay updated with the latest coding practices and documentation standards, ensuring compliance with regulatory requirements and best practices in clinical documentation.
