Clinical Improvement Specialist
2 weeks ago
Job Summary
Our organization is seeking a Clinical Documentation Specialist to play a pivotal role in improving clinical documentation and promoting the importance of quality documentation to support patient safety, accurate coding, and appropriate reimbursement allocation.
Key Responsibilities
- Perform ongoing documentation reviews of inpatient records to clarify diagnoses and procedures where inadequate or conflicting documentation exists.
- Identify and correct documentation issues impacting accurate DRG assignment to ensure documentation is complete and accurate.
- Collaborate with clinical, nursing, and allied health staff to improve clinical documentation practices.
Requirements
The ideal candidate will have:
- Clinical experience in an acute care environment and/or formal qualifications as a Health Information Manager/Clinical Coder.
- Ability to implement change initiatives and develop education programs for clinical staff on continuous documentation quality improvement.
- Highly developed interpersonal skills to engage and influence key stakeholders and multidisciplinary groups.
- Extensive knowledge of clinical documentation standards and understanding of clinical coding requirements.
- Excellent communication and analytical skills to enable high-volume workload completion.
Preferred Qualifications
The preferred candidate will be willing to upskill in clinical documentation improvement and undertake relevant training as required.
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