Clinical Documentation & Quality Improvement Lead

Direct Staffing Inc; Grand Rapids (MI); On-site; USD 70,000 - 90,000; Full time

Job summary

A leading staffing company is seeking a Clinical Documentation Specialist to enhance medical record quality and ensure compliance. The role involves collaboration with healthcare professionals and the delivery of education on documentation best practices. Candidates should possess a relevant degree and certifications, with strong communication skills emphasized. This position offers an opportunity to contribute to patient care quality in a collaborative environment.

Qualifications

• Current RN license or relevant HIM/HIT certification required.
• 5 years of experience in clinical settings with emphasis on documentation.
• Strong written and verbal communication skills.

Responsibilities

• Improve clinical documentation as an educator and consultant.
• Develop and deliver ongoing education on documentation guidelines and coding.
• Collaborate with medical staff to enhance documentation quality.

Skills

Clinical Documentation

Communication

ICD-10 Coding

Critical Care

Utilization Management

Case Management

Patient Outcomes Management

Education

Bachelor's Degree in Nursing

Health Information Management (HIM)

Associate's Degree in Nursing

Associate's Degree in Health Information Technology (HIT)

Tools

CCDS Certification

RN License

RHIA Certification

RHIT Certification

CCS Certification

Job description

A leading staffing company is seeking a Clinical Documentation Specialist to enhance medical record quality and ensure compliance. The role involves collaboration with healthcare professionals and the delivery of education on documentation best practices. Candidates should possess a relevant degree and certifications, with strong communication skills emphasized. This position offers an opportunity to contribute to patient care quality in a collaborative environment.