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Clinical Documentation Specialist National Capital
2 months ago
We are seeking a skilled Clinical Documentation Specialist to join our team at Healthscope. As a key member of our Clinical Documentation Improvement team, you will play a pivotal role in shaping the future of healthcare delivery.
As a Clinical Documentation Specialist, you will be responsible for reviewing medical records to ensure accuracy, completeness, and compliance with regulatory standards. You will also collaborate with healthcare providers to clarify documentation and resolve discrepancies.
Key responsibilities include:
- Reviewing medical records to ensure accuracy, completeness, and compliance with regulatory standards.
- Collaborating with healthcare providers to clarify documentation and resolve discrepancies.
- Educating staff on best practices for clinical documentation and coding.
- Analysing trends and providing insights to improve documentation processes and outcomes.
- Participating in quality improvement initiatives to enhance patient care delivery.
Requirements include:
- Bachelor's degree in Nursing and Current Registration.
- Certification as a Clinical Documentation Specialist (CCDS or CDIP) (preferred).
- Strong understanding of medical terminology, coding systems, and regulatory requirements.
- Excellent communication and interpersonal skills.
- Attention to detail and critical thinking abilities.
We offer a dynamic and collaborative work environment, opportunities for professional development and advancement, and a chance to make a meaningful difference in the lives of patients and communities we serve.
