Clinical Documentation Specialist responsible for accurate medical record reviews collaborating with healthcare professionals at ProHealth Home Care. Maintaining compliance with documentation regulations in home health settings.
Responsibilities
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
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