Clinical Documentation Specialist

At UNC Health Care, our Clinical Documentation Specialists play an integral role in ensuring the accuracy of patient records. We are seeking a professional with a passion for healthcare documentation and a commitment to delivering quality patient care. The successful candidate will have excellent communication and organizational skills, an eye for detail, and the ability to interpret medical terminology. If you have a thorough understanding of clinical documentation requirements and a commitment to accuracy, this is the perfect role for you!

Responsibilities:

-Review and interpret medical records to ensure accuracy of patient information

-Maintain up-to-date clinical documentation in accordance with legal and regulatory requirements

-Ensure accuracy of patient records by verifying and correcting any errors or discrepancies

-Utilize medical terminology to accurately document patient information

-Collaborate with other healthcare professionals to ensure accuracy of patient records

-Provide guidance and direction to other staff members regarding clinical documentation requirements

-Identify potential areas for improvement in clinical documentation processes

-Ensure all documentation is compliant with industry standards and regulations

-Maintain strict confidentiality of all patient records and documentation

According to JobzMall, the average salary range for a Clinical Documentation Specialist in Raleigh, NC, USA is $51,000 - $63,000 per year. This range can vary depending on the individual's experience and qualifications.

UNC Health is a not-for-profit medical system owned by the State of North Carolina and based in Chapel Hill, North Carolina at the University of North Carolina at Chapel Hill. It provides services throughout the Research Triangle and North Carolina. UNC Health was created in 1998, when the North Carolina General Assembly passed legislation that established the UNC Health Care System, bringing under one entity UNC Hospitals and the clinical programs of the UNC School of Medicine.