Clinical Documentation Specialist
6 days ago
About the Role
As a Clinical Documentation Specialist at Healthscope, you will play a pivotal role in shaping the future of healthcare delivery. Your meticulous attention to detail and expertise in clinical documentation will directly impact patient care outcomes, driving positive change and setting new standards of excellence.
Key Responsibilities
• Review and analyze medical records to ensure accuracy, completeness, and compliance with regulatory standards.
• Collaborate with healthcare providers to clarify documentation and resolve discrepancies.
• Develop and implement best practices for clinical documentation and coding.
• Analyze trends and provide insights to improve documentation processes and outcomes.
• Participate in quality improvement initiatives to enhance patient care delivery.
Requirements
• Bachelor's degree in Nursing and current registration.
• Certification as a Clinical Documentation Specialist (CCDS or CDIP) is preferred.
• Strong understanding of medical terminology, coding systems, and regulatory requirements.
• Excellent communication and interpersonal skills.
• Attention to detail and critical thinking abilities.
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