Clinical Doc Spclst

SUMMARY: Under general supervision of Manager of Clinical Documentation, The Clinical Documentation Specialist is responsible for concurrent auditing of medical record documentation to assist with evaluating and improving the quality of clinical documentation of services to accurately reflect severity of illness, expected risk of mortality, and complexity of care of the patient. Communicates and collaborates with physicians, mid-level providers, nursing staff, and other patient caregivers to improve quality and completeness of documentation. Communicates and collaborates with the coding staff to ensure patient documentation is coded to the highest specificity.…