Clinical Documentation Specialist

Comtech LLC; Bethesda (MD); On-site; USD 70,000 - 90,000; Full time

Job summary

Comtech LLC is looking for a Clinical Documentation Specialist based in Bethesda, MD to develop clinical documentation for Allscripts SCM. The role requires strong communication skills and at least 2 years of experience in health IT.

The ideal candidate will have a Bachelor of Science in Nursing and a Registered Nurse License, along with experience in clinical documentation and knowledge of hospital workflows.

Qualifications

• 2+ years of experience within a health care environment.
• 2+ years of experience developing clinical documentation within Allscripts SCM.
• Knowledge of hospital clinician workflow and regulatory requirements.

Responsibilities

• Work with management to identify documentation needs.
• Analyze clinical operations to facilitate decision making.
• Communicate effectively with all levels of the clinical documentation team.

Skills

Experience with Allscripts version 15

Knowledge of 'Aware notes'

Communication skills

Critical thinking

Proficient use of MS Office

Education

Bachelor of Science in Nursing and Registered Nurse License

Job description

Comtech is a woman-owned small business founded in 1998 and headquartered in Reston, VA. We offer IT solutions across the disciplines of program/project management, applications development, infrastructure, Cyber security, and enterprise content/data management services. We have developed our methodologies and processes based on the IT Infrastructure Library (ITIL) v.3 Framework across enterprise infrastructure operations. These methodologies and processes are reinforced through our organization’s externally accredited certifications, which include ISO 9001:2008 Quality Management System (QMS), ISO/IEC 20000-1:2011 IT Service Management Systems (SMS, corporate ITIL certification), ISO 27001:2005 Information Security Management System (ISMS), and CMMI-DEV Level 3.

Job Description

Job Title: Clinical Documentation Specialist

Duration: Long Term

Location: Bethesda, MD

JOB PURPOSE:

Allscripts SCM (Sunrise Clinical Manager) is the EHR used by our customer. The Clinical Documentation component is used by physicians, nurses and ancillary department staff to document procedures, patient status, and other clinical components. We are seeking 2 resources to develop clinical documentation notes within SCM.

ESSENTIAL JOB RESULTS:

• Works with management and end users to identify, analyze and prioritize documentation needs and requirements.
• Analyzes complex clinical operations and structure processes to facilitate decision making regarding clinical documentation in SCM.
• Participates in rounding/shadowing with a variety of clinical end users to gather requirements from and perform gap analysis.
• Document requirements from users.
• Effectively communicates with users, at all levels of the clinical documentation build team.
• Follows the Clinical Documentation configuration management process from idea, design, development, test, implementation and maintenance.
• Develops clinical documentation using the configuration tools within Allscripts SCM.
• Ensures all build is completed within established time frames.
• Maintains complete and detailed build documentation.
• Troubleshoot any found/reported issues and communicate with clinical documentation supervisor.

Job Requirements

PREFERRED QUALIFICATIONS:

• Experience with Allscripts version 15.
• Knowledge of “Aware notes” used for documentation.
• 2+ years of experience within a health care environment.
• 2+ years of experience within Health IT.
• 2+ years of experience developing clinical documentation within Allscripts SCM, required.
• Knowledge of hospital and ambulatory clinician workflow and regulatory requirements.
• Ability to interact with stakeholders throughout the organization (business owners, HIM professionals, Informatics professionals, etc.) is required.
• System design, implementation, integration and testing experience.
• Excellent communication, documentation and presentation skills, required.
• Ability to think critically and effectively manage multiple priorities and tasks.
• Advanced desktop computer hardware and software knowledge, required.Proficient use of MS Office (Outlook, Word, Excel, Power Point, Visio, SharePoint).

EDUCATION QUALIFICATION

• Bachelor of Science in Nursing and Registered Nurse License

703-722-8126