Clinical Documentation Specialist - AWS Certified CPC Card
Overview
Join an award-winning team at Southern Regional Medical Center in Atlanta focusing on quality compassion and community excellence. This Clinical Documentation Specialist role evaluates inpatient medical records to ensure quality-of-care outcomes and reimbursement compliance while collaborating with medical staff. The position offers a unique opportunity to impact a comprehensive healthcare facility.
What You'll Do11
- 1Conduct concurrent and retrospective reviews of inpatient medical records to assess documentation quality and reimbursement compliance
- 2Facilitate appropriate clinical documentation through close partnership with medical staff
- 3Perform admission criteria documentation for selected admissions
- 4Execute initial and extended-stay concurrent reviews across all admissions
- 5Apply knowledge of care delivery documentation systems and medical record documents
- 6Analyze age-specific patient needs and disease process elements
- 7Demonstrate strong clinical knowledge of pathology and physiology
- 8Utilize excellent written and verbal communication skills along with critical thinking abilities
- 9Develop effective relationships with physicians nurse staff and hospital management
- 10Implement inpatient admission documentation processes independently within a time-oriented environment
- 11Maintain proficiency with computer operations and basic office equipment
Requirements11
- 1Medical Graduate PA or Nursing graduate required
- 2Minimum three one plus years clinical experience in acute care settings
- 3Knowledge of care delivery documentation systems and related medical record documents
- 4Understanding of age-specific patient needs and disease process elements
- 5Strong clinical knowledge of pathology and physiology
- 6Excellent written and verbal communication skills with critical thinking abilities
- 7Ability to work independently in fast-paced environments
- 8ECFMG Certificate or RN license preferred
- 9Prior case management experience preferred
- 10Working knowledge of Medicare reimbursement systems and coding structures
- 11Current BCLS AHA certificate upon hire and ability to maintain certification
Salary Insight
Salary not disclosed in listing
Location
Required Skills
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