Non-Clinical - Clinical Documentation Specialist

Non-Clinical - Clinical Documentation Specialist

Profession: HIM Specialist

Specialty: -

Duration: 14

Shift: Days

Hours per Shift: Typically Monday through Friday 8:00 AM - 4:30 PM (Open to potential adjustments)

Experience: Minimum 1 year of related experience;
Preferred 1-3 years of progressive HIM experience or as a student in an accredited program (RHIT, RHIA, CCA, or CCS).

License: -

Certifications: -

Must-Have: High School Diploma/GED

Description:

This position is responsible for all aspects of processing protected health information (PHI) in all formats.

This includes record maintenance, record storage and retrieval, scanning, indexing, record analysis, deficiency reporting, and processing requests for records from both internal and external customers.

This position requires a professional attitude in the execution of all duties.

Knowledge of and conformance with federal, state, and accrediting agency standards is essential.

Specific duties are determined by the work setting or patient population served.

Serving patients with challenging and complex conditions requires specialized staff.

Staff must work in highly coordinated teams.

We organize work around each patient’s condition, requiring staff across many departments to exhibit exceptional teamwork qualities.

Effective communication and adopting behaviors required for high-functioning integrated teams are crucial.

Skills:

Communicates with all departments and staff in a professional manner.

Responds to customer requests promptly and appropriately.

Follows up when necessary to ensure customer needs are met.

Utilizes all available resources to optimize the patient experience.

Completes work timely and meets quality expectations.

Acts as a resource for the care team to resolve access to patient records concerns or needs.

Knowledgeable about ROI, scanning, indexing, and deficiency management processes.

Effectively prioritizes work based on need and timing, including scanning records related to upcoming appointments.

Consistently follows all current department and organizational guidelines and workflows.

Tasks include sorting, scanning, indexing, and release of information.

Utilizes critical thinking skills to identify errors in patient medical records and avoid duplication.

Demonstrates high attention to detail to ensure all patient information is accurate.

Shows accuracy in sorting, scanning, indexing, and analysis.