Clinical Document Specialist Job in Holyoke, Massachusetts US
Job Details:
The Clinical Documentation Specialist acts as a liaison between medical staff, Nursing, HIM and QI Specialists to ensure the clinical documentation reflects the most appropriate level of services and resources provided. Provides clinically based concurrent review of inpatient medical records to assess and procure accurate and complete documentation of the patients' diagnoses and procedures. Ensures documentation accurately reflects quality of care, severity of illness and risk of morality to support correct coding, reimbursement and quality initiatives. Work requires a Bachelor's of Science degree in Nursing, MSN preferred. Current Massachusetts RN license in good standing required. Requires a minimum of five (5) years experience in Critical Care or ICU. Knowledge of coding guidelines and chart review required. Requires strong interpersonal skills and the ability to work effectively with a wide range of people in a diverse community. Advanced verbal and written communication skills. Ability to foster a cooperative work environment. Approaches and responds to conflict in a constructive manner, with a focus on problem solving for a collaborative solution/resolution. Exceptional analytical skills required. Adheres to CDI escalation policy/procedure when necessary.
