Documentation Specialist Jobs

About The Position

Requirements

• Bachelor's Degree Required
• Two (2) years’ experience in the Clinical field, Coding, Care Management or any combination of education, training and/or experience which demonstrates competence as described in Special Skills and Position Summary
• Strong Clinical background.
• Exceptional problem-solving, time management and organizational skills.
• Ability to work independently and communicate effectively and efficiently with Medical Staff and Healthcare Team.
• Strong familiarity with medical practices, especially disease management and health and wellness programs.
• Works with the Medical Staff and Documentation Team members to provide physician and staff education related to clinical documentation.
• Have extensive knowledge of medical terminology and regulatory agency requirements.
• Possess exceptional written and verbal communication skills in order to establish and maintain successful working relationships with all levels of staff.
• Possess tact, initiative and confidence to meet the essential functions of the position.
• Registered Nurse - South Carolina Department of Labor, Licensing and Regulation Required or
• Registered Health Information Administrator - American Health Information Management Association Required or
• Certified Coding Specialist - American Health Information Management Association

Nice To Haves

• Bachelor's Degree in nursing or clinical Degree in related field, Preferred

Responsibilities

• Participate in targeted second level reviews of high or low outlier medical/surgical DRG’s as identified on quarterly PEPPER report
• Assist in education to Medical Staff including Residents, designated Committees and hospital staff on interpretation and communication techniques for obtaining appropriate medical record documentation.
• Take an individual, active role in achieving the departmental SMART goals that support the pillars of the organizational strategic objectives
• Utilized monitoring tools to track the progress of the Clinical Documentation Program
• Participate in the implementation of new service lines for the organization to identify documentation needs of diagnoses and procedures being implemented