TalentAQ

TalentAQ

Clinical Documentation Specialist

Clinical & Patient CareFresher66.7 Lacs - 91.7 Lacs

Job Description

<p>We are seeking a detail-oriented Clinical Documentation Specialist to review and analyze patient medical records to ensure accurate and complete documentation. The Clinical Documentation Specialist will work closely with healthcare providers to clarify documentation and improve the quality of clinical data.</p><p>Key Responsibilities:<br/>* Review patient medical records for completeness and accuracy.<br/>* Identify documentation gaps and query healthcare providers for clarification.<br/>* Provide education and training to healthcare providers on documentation standards.<br/>* Abstract and code clinical data from medical records.<br/>* Ensure compliance with regulatory requirements and coding guidelines.</p><p>Required Skills:<br/>* Certification in clinical documentation improvement (e.g., CCDS, CDIP).<br/>* Knowledge of medical terminology, anatomy, and physiology.<br/>* Strong analytical and critical thinking skills.<br/>* Excellent communication and interpersonal skills.</p>

We are seeking a detail-oriented Clinical Documentation Specialist to review and analyze patient medical records to ensure accurate and complete documentation. The Clinical Documentation Specialist will work closely with healthcare providers to clarify documentation and improve the quality of clinical data.

Key Responsibilities:
* Review patient medical records for completeness and accuracy.
* Identify documentation gaps and query healthcare providers for clarification.
* Provide education and training to healthcare providers on documentation standards.
* Abstract and code clinical data from medical records.
* Ensure compliance with regulatory requirements and coding guidelines.

Required Skills:
* Certification in clinical documentation improvement (e.g., CCDS, CDIP).
* Knowledge of medical terminology, anatomy, and physiology.
* Strong analytical and critical thinking skills.
* Excellent communication and interpersonal skills.