Clinical Documentation Specialist Job at University of Maryland Medical System, Largo, MD

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  • University of Maryland Medical System
  • Largo, MD

Job Description

  1. DOCUMENTATION: Facilitates initial assessment of the quality of clinical documentation for all types of patients. Reviews relevant sections of the record and develops a documentation improvement plan consistent with the clinical picture of each patient.
  2. TEAMWORK: Engages in face-to-face time with physicians; describes what documentation is necessary for accurate coding; explains benefits of accurate/timely clinical documentation. Provides leadership and facilitates multidisciplinary discussions regarding documentation improvement. Assists in correcting knowledge deficits on part of physicians and other staff members. Assumes a leadership role in continual assessment of the quality of documentation and identifies opportunities for improvement. Organizes and participates in training and CDI program promotional activities for physicians and staff.

Qualifications :

  • 4 year / Bachelors Degree: Nursing (required)
  • Masters Degree (preferred)
  • Registered Nurse Certified (required)
  • RHIA RHIT (preferred)
  • 4 - 6 years Clinical Nursing or Health Information Management experience (required)
  • 6 - 9 years Clinical Nursing or Health Information Management experience (preferred)
  • Required Skills: Strong Verbal Communications Skills Basic Computer skill

Additional Information :

All your information will be kept confidential according to EEO guidelines.

Compensation:
Pay Range: $38.67-$58.05
Other Compensation (if applicable):

Like many employers UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details personal identification or payment via email or text. If you suspect fraud please contact us at

Remote Work :

No

Employment Type :

Full-time

Job Tags

Full time,

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