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Clinical Documentation Technician

Educational Services

Full Time -80 hours

Varies

7a-5p

In an environment of continuous quality improvement, the Clinical Documentation Technician is responsible for clinical documentation education and audits as well as end user support. Exhibits the MHS Standards of Excellence and exercises strict confidentiality at all times.

 

Job Requirement:

·          High School Degree or GED required

·          Completion of a clinical education program and one to three years of clinical experience preferred

·          BLS certification required

·          Verbal and written communication skills

·          Ability to provide critical feedback

·          Computer literacy – working knowledge of Microsoft Word, Excel, Powerpoint; ability to use office equipment such as copiers, scanners, printers

·          Meditech or other electronic health record experience required

 

Job Functions:

1.     Have an expert level of understanding of BOLT, Meditech, or other EMR documentation and impart Have an expert level of understanding of BOLT, Meditech, or other EMR documentation and impart this knowledge to your peer and end users. Strive to create superusers of the EMRs throughout the organization and encourage cross-functional collaboration from outpatient to inpatient.

2.     Assist in live training of new users and communicate to clinical informatics educators when new users are competent to use BOLT/Meditech/EMR in the live environment.  Exercise judgement in identifying users requiring additional hands-on practice during classroom training, for hands-on practice, and beyond initial education.  Maintain follow-up and ensure satisfactory proficiency of all end users through audits. 

3.     Assist in Onboarding New Ambulatory Practices and Hospital Units for BOLT go-lives. Assisting can be initial training, elbow-2-elbow support, supporting at a distance, auditing provider and end user documentation and identification of the need for additional training. Maintain a presence and visibility during a go-live and solicit feedback from end users.

4.     Identify opportunities to improve clinical work flow and patient interaction while documenting. Support the LEAN team to improve the work flow and processes of the end user.

5.     Assist in creation and maintenance of downtime procedures & documentation for physicians, nursing, clinic office staff, and other clinical staff related to the BOLT/EMR documentation system in collaboration with MedOne Systems Education Representative.  

6.     Assist in the creation and maintenance of BOLT Moments and BOLT Features.

7.     Assist in the creation and maintenance of BOLT job aids for the end user.

8.     Assist Clinical Informatics Educators and MHS IT department to ensure offices and end users have appropriate hardware/IT infrastructure and access to support operations. Assist the offices/units and ends users by troubleshooting any documentation barriers.

9.     Assumes all other duties and responsibilities as necessary.