Clinical Documentation Specialist, REMOTE
Trinity Health · Athens, Georgia, US
Employment Type: Full time Shift: Day Shift Description: The Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct effo...
Job description
Employment Type: Full time Shift: Day Shift Description: The Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator and consultant. Facilitates the overall quality, completeness, accuracy and integrity of medical record documentation through extensive record review. Through extensive interaction with physicians and other members of the healthcare team, achieves appropriate clinical documentation to support code assignment, medical necessity, severity of illness, risk of mortality and level of services rendered to all patients. Participates in the development and delivery of education for providers and members of the healthcare team. PRIMARY JOB RESPONSIBILITIES AND DUTIES: Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, standards, policies, procedures and decisions. Demonstrates understanding of appropriate clinical documentation, to ensure that the severity of illness, risk of mortality and level of services provided are accurately reflected in the health record. Assists in ove...