Clinical Documentation Specialist
ProHealth Care
full-time
Posted on:
Location Type: Hybrid
Location: Waukesha • Wisconsin • United States
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About the role
- The Clinical Documentation Specialist is an RN responsible for reviewing medical records on a concurrent basis to facilitate the accurate representation of the severity of illness
- Work collaboratively with physicians, HIM professionals and other clinicians
- Extensive record review
- Active participation in team meetings and education of staff in the Compliant Documentation Management Program process is a key role
Requirements
- Associate's Degree in Nursing required
- Bachelor's Degree in Nursing preferred
- Valid State of WI or eLC compact state RN licensure
- Must have experience in skilled home health care and knowledge of regulations including OASIS
- Able to manage multiple priorities
- Organizational, analytical, writing and interpersonal skills
- Critical thinking, problem solving and deductive reasoning skills
- Recent hospital experience preferably ICU, CCU, or strong Med/Surg knowledge of pathophysiology and disease process required
- Basic Computer skills
Benefits
- OASIS experience & Home Care experience
- Monday -Friday 8am-430p
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical record reviewOASISpathophysiologydisease process
Soft skills
organizational skillsanalytical skillswriting skillsinterpersonal skillscritical thinkingproblem solvingdeductive reasoning
Certifications
Associate's Degree in NursingBachelor's Degree in NursingRN licensure