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Job Details

Clinical Documentation Specialist 40hrs

Company name
TH Medical

Worcester, MA

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Clinical Documentation Specialist 40hrs','!*!POSITION PURPOSE:Responsible for improving overall quality and completeness of clinical documentation.  Performs concurrent record reviews on all selected admissions and documents findings.  Facilitates modifications to clinical documentation to ensure completeness through extensive interaction with physicians or medical staff departments.  Serves as a resource for physicians to help link ICD-9-CM coding guidelines and medical terminology to improve accuracy of documentation.  Reports results of audits to departments and committees. Identifies opportunities for interdepartmental and interdepartmental operational improvements.  Participates in program related meetings, physician and staff education, staff development, departmental activities and in-service opportunities.  INTERPERSONAL RELATIONSHIPS:Excellent written and verbal communication skills, critical thinking skills and interpersonal skills to build effective partnering relationships with physicians, care management team, nursing staff, coding staff and hospital staff. ','!*!EDUCATIONAL REQUIREMENTS:Graduate of an approved Health Information Technology/ Management program with credentials of RHIA, RHIA eligible, RHIT, RHIT eligible, CCS, CCS-P and /or graduate from an accredited nursing program with LPN or RN licensure.  PHYSICAL REQUIREMENTS:Ability to move throughout the department, hospital and other Saint Vincent Hospital locations.  Visual skills, motor skills and the dexterity to operate a PC, fax, copy machine and telephones.  Able to lift 25 pounds unassisted.EXPERIENCE REQUIRED:Two years of experience in acute care setting.  Knowledge of care delivery documentation systems and related medical record documents. Computer skills and familiarity with basic office equipment required.  Exposure to MS DRG coding classification preferred.  SUPERVISORY RESPONSIBILITIES:None.  PROFESSIONAL LICENSURE AND CERTIFICATION REQUIRED:RHIA, RHIA eligible, or RHIT, RHIT eligible, or CCS, CCS-P,or RN, LPN licensure REPORTING RELATIONSHIPS AND LEVEL OF AUTONOMY:Directly reports to the Director of Health Information Management and collaborates closely the Coding Manager.   ','Medical Records','MA-Worcester','','Saint Vincent Hospital','Full-time','Full-time','Days','Days','','','','','','','1805009512','Clinical Documentation Specialist 40hrs

Company info

TH Medical
Website :

Company Profile
At Tenet Healthcare, we’ve had a longstanding commitment to serving our patients, our employees, our physicians and our partners. Today, we’re one of the nation’s leading healthcare services companies, with a comprehensive network that extends from coast to coast:

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