Clinical Documentation Specialist

Welcome to Tenet Healthcare, where we are dedicated to providing exceptional patient care and advancing the healthcare industry. We are currently seeking a highly skilled Clinical Documentation Specialist to join our team. As a Clinical Documentation Specialist, you will play a crucial role in ensuring accurate and comprehensive documentation of patient records. This is a dynamic and challenging position that requires strong attention to detail, excellent communication skills, and the ability to work collaboratively with a multidisciplinary team. If you are passionate about making a positive impact on patient outcomes and have a strong understanding of clinical documentation guidelines and regulations, we invite you to apply for this exciting opportunity.

1. Review and analyze medical records to ensure accuracy and completeness of clinical documentation.
2. Collaborate with healthcare providers to obtain necessary information for complete and accurate documentation.
3. Identify and communicate documentation deficiencies to healthcare providers and work with them to resolve any issues.
4. Stay updated on current clinical documentation guidelines and regulations to ensure compliance.
5. Utilize coding and classification systems to assign appropriate diagnoses and procedures.
6. Educate healthcare providers on proper documentation practices and guidelines.
7. Communicate effectively with a multidisciplinary team to ensure comprehensive and accurate patient records.
8. Perform audits and quality reviews of clinical documentation to identify areas for improvement.
9. Participate in coding and documentation training programs to further develop skills and knowledge.
10. Maintain confidentiality and adhere to ethical standards in handling patient information.
11. Collaborate with other departments to ensure accurate and timely billing and reimbursement.
12. Monitor and report on key performance indicators related to clinical documentation.
13. Contribute to the development and implementation of policies and procedures related to clinical documentation.
14. Participate in departmental meetings and initiatives to improve patient care and outcomes.
15. Maintain a positive and professional demeanor while interacting with patients, healthcare providers, and other team members.

According to JobzMall, the average salary range for a Clinical Documentation Specialist in Phoenix, AZ, USA is $53,000 - $82,000 per year. This range can vary depending on factors such as years of experience, education level, and specific job responsibilities.

Tenet Healthcare Corporation is a multinational investor-owned healthcare services company based in Dallas, Texas, United States.