Clinical Documentation Specialist

1 week ago


Hartford, Connecticut, United States Connecticut Children's Full time
Job Description

At Connecticut Children's, we are seeking a skilled Clinical Documentation Specialist to join our team. As a key member of our healthcare quality improvement team, you will play a vital role in ensuring the accuracy and completeness of clinical documentation. Your expertise will help us provide high-quality care to our patients and families.

Responsibilities
  • Perform admission, concurrent, and retrospective medical reviews to ensure accurate reimbursement.
  • Collaborate with physicians, nursing staff, and other healthcare professionals to improve clinical documentation.
  • Develop and implement education programs to enhance clinical documentation skills.
  • Apply standardized criteria and guidelines to determine the appropriateness of admissions and patient classification.
  • Monitor resource utilization and ensure compliance with Medicare and Medicaid regulations.

Qualifications
  • Bachelor's degree in Nursing (BSN) or related field.
  • Minimum 3 years of pediatric clinical experience.
  • Preferred experience in utilization review, case management, or care coordination.

About Us
Connecticut Children's is a leading children's health system dedicated to providing exceptional care to our patients and families. We are committed to innovation, education, and community partnerships.

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