Clinical Documentation & Compliance Specialist

Appalachian Regional Healthcare, Inc.; Hazard (KY); On-site; USD 52,000 - 78,000; Full time

Job summary

Appalachian Regional Healthcare, Inc. is seeking a Documentation Specialist to ensure the accuracy and regulatory compliance of medical records across system facilities.

You will evaluate chart documentation, support coding processes, and advise staff on appropriate actions to meet state and federal requirements. In this onsite role you will collaborate with physicians, administrators, and health information staff, maintain liaison with regulatory bodies, and help implement compliant policies.

Qualifications

• RN licensure in the state of employment.
• Strong clinical documentation knowledge to support coding and reviews.
• Excellent interpersonal and communication skills with physicians and staff.

Responsibilities

• Evaluate medical record systems for compliance with state and federal regulations.
• Review patient chart documentation for compliance with standards.
• Provide consultation to physicians on new regulations and implementation.
• Advise facility admins on corrective measures for compliance.
• Liaise with state, federal, and local organizations on standards.
• Review records to confirm appropriate care according to criteria.
• Perform retrospective chart reviews to adjust payment status.
• Visit facilities to interview staff about policies and procedures.
• Review and evaluate policies to ensure written requirements.
• May investigate complaints about medical records services.
• Perform other related duties within job scope.

Skills

Licensed RN

Clinical documentation knowledge

Interpersonal skills

Education

Registered Nurse license

Nursing degree from accredited school

Knowledge of state and federal medical records regulations

Job description

Appalachian Regional Healthcare, Inc. is seeking a Documentation Specialist to ensure the accuracy and regulatory compliance of medical records across system facilities.

You will evaluate chart documentation, support coding processes, and advise staff on appropriate actions to meet state and federal requirements. In this onsite role you will collaborate with physicians, administrators, and health information staff, maintain liaison with regulatory bodies, and help implement compliant policies.