RN-Clinical Documentation Spec

RN-Clinical Documentation Spec

Job Overview:

This role focuses on ensuring clinical data integrity within a healthcare facility and serves as a primary resource for medical record documentation. The position involves concurrent reviews of medical records to enhance documentation quality and educating medical professionals on documentation requirements.

Key Responsibilities:
* Ensuring the quality and integrity of clinical documentation.
* Serving as a resource for documentation practices within the medical record system.
* Performing concurrent reviews of medical records to identify areas for documentation improvement.
* Educating medical professionals regarding documentation requirements as needed.
* Providing training and education to physicians on clinical documentation best practices.
* Providing workflow direction related to clinical documentation processes.
* Managing and responding to documentation queries.

Requirements:
* Minimum Education: Graduation from an accredited nursing program is required.
* Required Skills: Possesses critical thinking skills, decisive judgment, and the ability to work effectively with minimal supervision. Must be capable of working in a demanding environment and taking appropriate action.
* Certifications: Basic Life Support (BLS) to be obtained within 30 days of employment.
* Required Licenses: Current registered nurse licensure.
* Minimum Work Experience: One year of inpatient coding experience is preferred.

What We Offer:
* Opportunity to contribute to data integrity in a healthcare setting.
* Professional development opportunities.
* A supportive work environment.



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Job Type: Full-time



Application Question(s):
* your email address gmail/yahoo etc.

Education:
* Associate (Required)

License/Certification:
* RN License (Required)
* BLS Certification (Required)

Ability to Commute:
* Fayetteville, WV (Required)

Work Location: On the road