Clinical Documentation Specialist

6 days ago


Salisbury, Maryland, United States TidalHealth Full time
Clinical Documentation Specialist Position Summary

The Clinical Documentation Specialist plays a crucial role in ensuring the accuracy and completeness of patient medical records. This position requires a strong understanding of healthcare documentation standards and the ability to analyze clinical data to identify potential gaps in physician documentation.

Key Responsibilities:

  • Review inpatient medical records to ensure accuracy and completeness
  • Analyze clinical data to identify potential gaps in physician documentation
  • Communicate with attending physicians to validate observations and suggest additional documentation
  • Develop and implement tools to support medical record physician documentation
  • Collaborate with HIM Director and physician leadership to design and implement education programs for physicians, nursing, and other clinical staff

Requirements:

  • Previous experience in inpatient coding and/or CDI experience
  • Registered Nurse license in the state in which you reside
  • BSN required
  • Minimum five (5) years experience as a Registered Nurse

About TidalHealth:

TidalHealth is a leading healthcare provider with a reputation for excellence. Our hospitals have been recognized for their high-quality care and patient satisfaction. We offer a range of benefits, including tuition assistance and scholarship programs, to support the growth and development of our employees.



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