Hybrid Clinical Documentation Specialist

Posted 12 hours ago

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About the role

  • Clinical Documentation Specialist responsible for accurate medical record reviews collaborating with healthcare professionals at ProHealth Home Care. Maintaining compliance with documentation regulations in home health settings.

Responsibilities

  • The Clinical Documentation Specialist is an RN responsible for reviewing medical records on a concurrent basis to facilitate the accurate representation of the severity of illness
  • Work collaboratively with physicians, HIM professionals and other clinicians
  • Extensive record review
  • Active participation in team meetings and education of staff in the Compliant Documentation Management Program process is a key role

Requirements

  • Associate's Degree in Nursing required
  • Bachelor's Degree in Nursing preferred
  • Valid State of WI or eLC compact state RN licensure
  • Must have experience in skilled home health care and knowledge of regulations including OASIS
  • Able to manage multiple priorities
  • Organizational, analytical, writing and interpersonal skills
  • Critical thinking, problem solving and deductive reasoning skills
  • Recent hospital experience preferably ICU, CCU, or strong Med/Surg knowledge of pathophysiology and disease process required
  • Basic Computer skills

Benefits

  • OASIS experience & Home Care experience
  • Monday -Friday 8am-430p

Job title

Clinical Documentation Specialist

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Associate's Degree

Location requirements

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