Clinical Documentation Innovation Lead

AbsoluteCARE Medical Center & Pharmacy; Baltimore (MD); On-site; USD 70,000 - 85,000; Full time

Job summary

A healthcare organization in Baltimore is looking for a Clinical Documentation Excellence Specialist to ensure clinical documentation accuracy and ICD-10 coding precision. This pivotal role involves evaluating outpatient clinical records, collaborating closely with healthcare providers to refine documentation processes, and leading initiatives to enhance coding quality. The ideal candidate will have at least 3 years of relevant experience, possess strong skills in documentation improvement, and be proficient in Microsoft office tools and EMR systems. This position operates in a professional office environment.

Qualifications

• Minimum of 3 years experience as a clinical RN, outpatient certified medical coder, or equivalent.
• Proficient in Microsoft office tools and EMR systems.
• Proven experience in Clinical Documentation Improvement.

Responsibilities

• Conduct timely reviews of outpatient clinical records.
• Partner with healthcare providers to enhance documentation accuracy.
• Engage with providers through queries in the EMR.

Skills

Clinical Documentation Improvement

Relationship Building

Self-Motivation

Adaptability

Education

High School Diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Microsoft Outlook

Electronic Medical Records

Job description

A healthcare organization in Baltimore is looking for a Clinical Documentation Excellence Specialist to ensure clinical documentation accuracy and ICD-10 coding precision. This pivotal role involves evaluating outpatient clinical records, collaborating closely with healthcare providers to refine documentation processes, and leading initiatives to enhance coding quality. The ideal candidate will have at least 3 years of relevant experience, possess strong skills in documentation improvement, and be proficient in Microsoft office tools and EMR systems. This position operates in a professional office environment.