Documentation Specialist

Acadia Healthcare•Wilmington, NC

About The Position

The Documentation Specialist supports compliance by representing the patient’s perspective and protecting patient rights. The role reviews discharged patient records for completeness and regulatory compliance, abstracts and analyzes data for payer and regulatory requirements, and presents data to support facility performance improvement. The specialist collaborates with clinical teams on patient safety and quality of care, participates in risk management and quality improvement initiatives, and assists the department director with routine assignments. The position also requires a positive, empathetic, and professional approach to patients and customers, including acknowledging and working to resolve complaints when patient needs are not met.

Requirements

  • High school diploma or equivalent required.

Nice To Haves

  • Bachelor’s degree in health services preferred.

Responsibilities

  • Review discharged patient records daily for completeness and compliance with regulatory standards.
  • Perform data abstraction and analysis to meet requirements from payers and regulatory bodies.
  • Collect and present data in a useful format to support facility performance improvement initiatives.
  • Attend performance improvement meetings, participate in projects, and support routine regulatory goals.
  • Assist the department director with routine departmental assignments and other assigned tasks.
  • Collaborate with clinical teams on patient safety and quality-of-care issues.
  • Participate in the risk management process and quality-of-care initiatives.
  • Participate in developing facility quality improvement plans and goals and support their implementation.
  • Maintain a positive, empathetic, and professional attitude toward customers; acknowledge and work to resolve complaints when patient needs are not met.
  • Recognize patient safety as a top priority.
  • Perform other functions and tasks as assigned.
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