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Compliant Documentation Specialist

2 months ago


Huntington Beach, California, United States Marshall Health Network Full time
Job Summary

The Compliant Documentation Specialist plays a critical role in ensuring the accuracy and completeness of medical records. This position requires a strong clinical background, excellent analytical and writing skills, and the ability to work effectively with healthcare teams.

Key Responsibilities
  • Review medical records to identify areas for improvement and ensure compliance with regulatory requirements
  • Collaborate with physicians, HIM professionals, and nursing staff to resolve documentation issues and improve clinical documentation practices
  • Participate in team meetings and education sessions to promote best practices and share knowledge
  • Develop and implement strategies to improve clinical documentation and reduce errors
  • Stay up-to-date with changes in regulatory requirements and industry standards
Requirements
  • Registered Nurse in West Virginia or ability to obtain a WV RN license by hire
  • Bachelor's Degree with clinical background
  • 5+ years of experience in clinical documentation improvement or related field
  • Compliant Documentation Improvement Specialist Certification preferred
Preferred Qualifications
  • Adult ICU experience (2 years)
  • Knowledge of Pathophysiology and Disease Process
  • Basic computer skills and familiarity with Windows-based software programs

The Marshall Health Network is committed to providing high-quality patient care and improving health outcomes. As a Compliant Documentation Specialist, you will play a vital role in ensuring the accuracy and completeness of medical records, and contributing to the success of our organization.