In an environment of continuous quality improvement, responsible for reviewing physician documentation practices to comply with governmental regulations for standardized patient care and quality of care core measure indicators. In this role, the Clinical Documentation Specialist will complete chart reviews, and facilitate documentation improvement through communication with the physicians in order to maintain compliance requirements for data abstraction, analysis, and reporting.
Minimum Education/Experience Required: Graduate of an accredited school of
nursing with current license to practice as registered nurse in the State of
Ohio. Minimum of 5 years recent experience in an acute care setting or
managed care environment.
Special Knowledge, Skills, Training: Strong organization skills,
self-directed, flexible, able to adapt to rapidly changing regulatory
requirements. Ability to analyze, interpret and assimilate information from
various sources based on technical and experience-based knowledge.
Demonstrated knowledge in using clinical information systems, excel
spreadsheet, and reporting and/or graphing capabilities and web access to
input and research information. Possesses effective interpersonal skills, can work across departmental boundaries, facilitates problem resolution, and
maintain a professional demeanor in difficult situations. Demonstrate ability to work effectively with physicians. Strong working knowledge of hospital organization, operations and its interaction with medical staff and other hospital departments. Possess excellent verbal and written communication skills.