Healthcare Documentation Specialist

4 weeks ago


Marlton, New Jersey, United States Medix Full time

We are seeking a skilled Healthcare Documentation Specialist to join the Home Care Department of a large, Medicare-certified home health agency in New Jersey. This role will play a crucial part in ensuring the highest quality of care for our patients by improving documentation of all conditions, treatments, and care plans.



The ideal candidate will have experience in Clinical Documentation Improvement (CDI) and a strong understanding of OASIS and coding principles. They will be responsible for conducting concurrent and retrospective reviews of clinical documentation, utilizing OASIS and coding expertise to guide and support home health clinicians, and educating clinical staff on documentation criteria to enhance compliance and quality of care.



Responsibilities:


  • Documentation Improvement: Conduct concurrent and retrospective reviews of clinical documentation to ensure accuracy and completeness.
  • Guidance and Support: Utilize OASIS and coding expertise to guide and support home health clinicians in completing required documentation.
  • Education and Training: Provide education to clinical staff on documentation criteria to enhance compliance and quality of care.
  • Performance Improvement: Participate in performance improvement activities as a member of the Home Care team.


Requirements:


  • OASIS Experience: Must have experience with OASIS and coding principles.
  • Current NJ RN License: Must have a current RN license in New Jersey.
  • Preferred Qualifications: Experience in Clinical Documentation Improvement (CDI) and a strong understanding of OASIS and coding principles.


As a Healthcare Documentation Specialist with Medix, you will enjoy a competitive salary range of $40-48 per hour, determined based on resume and experience. Our benefits package includes paid sick leave, health benefits, 401k, short-term disability insurance, and term life insurance plan. If you are a motivated and detail-oriented individual with a passion for improving healthcare documentation, we encourage you to apply for this exciting opportunity.



Medix is an employment business that acts as an intermediary between job seekers and employers. We are committed to providing a positive and supportive work environment for our employees.



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