Senior Clinical Documentation Specialist, PRNSanta Barbara Cottage Hospital • New York, New York, United States
Senior Clinical Documentation Specialist, PRN
Santa Barbara Cottage Hospital
- New York, New York, United States
- New York, New York, United States
À propos
Key Responsibilities
Performs assessment of patient records to evaluate documentation for accuracy, legibility and completeness.
Works with coding staff to ensure documentation of discharge diagnoses, including any coexisting co-morbidities, and procedures are complete.
Communicates with providers regarding missing, unclear, or conflicting clinical documentation.
Collaborates with case managers, nursing staff, and other staff on documentation issues and resolves provider queries prior to patient discharge.
Monitors provider documentation queries for timely and compliant response and escalates issues.
The responsibilities listed are a general overview of the position and additional duties may be assigned.
Technical Capabilities
Written Communication (Novice): Demonstrates the ability to write clear, detailed, and comprehensive status reports, memos and documentation.
Verbal Communication (Novice): Ability to enunciate clearly, using appropriate voice control and body language.
Medical Coding (Intermediate): The transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes.
Critical Thinking (Novice): The objective analysis and evaluation of an issue in order to form a judgment.
Relationship Management: Manages internal and external organizational relationships with clients, vendors, partners and staff.
Position Qualifications
Licensure: Registered Nurse (Licensure-Others)
Work Experience: 3 years of relevant work experience.
Education: Graduate of an approved discipline specific program.
Benefits This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.
Equal Opportunity Statement Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
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Compétences linguistiques
- English
Avis aux utilisateurs
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