Clinical Documentation Specialist

1 week ago


Decatur Georgia, United States Emory Healthcare Full time
Job Summary

We are seeking a skilled Clinical Documentation Specialist to join our team at Emory Healthcare. As a key member of our healthcare team, you will be responsible for providing clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation of patient acuity and to support acute care services that were delivered.

Key Responsibilities
  • Conduct concurrent and retrospective review of inpatient medical records to evaluate the documentation of patient acuity and to support acute care services that were delivered.
  • Facilitate appropriate physician documentation of care delivery to accurately reflect patient severity of illness and risk of mortality.
  • Support quality of care outcomes and obtain accurate and compliant documentation for billing of services rendered.
  • Collaborate with healthcare teams to ensure accurate and complete documentation of patient care.
Requirements
  • Graduate of an accredited school of Nursing, or United States or International School of Medicine Education.
  • Active license as a Registered Nurse (RNs) or equivalent experience and education for physicians.
  • Three years' experience in a healthcare-related field with strong clinical expertise and acumen.
  • Recent clinical experience in an acute care setting, preferably in Critical Care, Medical/Surgical, or Emergency department nursing.
About Emory Healthcare

Emory Healthcare is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet designated ambulatory practice. We are made up of 11 hospitals, the Emory Clinic, and more than 425 provider locations. Our commitment to diversity, equity, and inclusion is reflected in our dedication to providing equal opportunities and access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression, and/or veteran's status.



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