Clinical Documentation Specialist

Meritus Health is looking for a highly organized and detail-oriented Clinical Documentation Specialist to join our team. In this role, you will ensure the accuracy and completeness of clinical documentation to ensure compliance with regulatory standards and ensure the highest quality of care for our patients. We are looking for a professional with a strong understanding of ICD-10, CPT-4, and HCPCS coding systems, as well as the ability to interpret medical records to accurately identify appropriate codes. You must have excellent communication skills and be able to work effectively with physicians and other healthcare personnel.If you have a passion for providing high quality care and thrive in a fast-paced environment, we encourage you to apply for this position.

Responsibilities:

1. Interpret medical records to accurately identify appropriate codes using ICD-10, CPT-4, and HCPCS coding systems.
2. Monitor and evaluate clinical documentation for accuracy and completeness in accordance with regulatory standards.
3. Maintain communication with physicians and other healthcare personnel to ensure proper documentation.
4. Monitor coding accuracy and accuracy of data entry.
5. Analyze and review clinical documentation to ensure proper coding is applied.
6. Identify any errors or discrepancies in clinical documentation and take appropriate corrective action.
7. Stay up-to-date with changes in regulations and coding standards.
8. Provide guidance and training to staff members on coding and documentation procedures.
9. Develop and implement systems to ensure proper documentation and coding.
10. Create and maintain reports of coding activity and audit results.

According to JobzMall, the average salary range for a Clinical Documentation Specialist in Hagerstown, MD, USA is $48,000 - $71,000. This range is based on the individual's experience, qualifications, and other factors.

Meritus Medical Center, the health system’s flagship facility, is a Magnet® Recognized and Joint Commission accredited 256-bed community and teaching hospital that serves as the clinical training site for western Maryland’s only family medicine residency program. Originally named Washington County Hospital, the hospital relocated in 2010 and is known for cancer care, inpatient rehabilitation, cardiac care, a Level III trauma center and emergency department, a Level II special care nursery and women’s and children services.