Clinical Documentation Improvement Specialist

At Universal Health Services, we are committed to providing high-quality patient care by ensuring accurate and comprehensive clinical documentation. As a Clinical Documentation Improvement Specialist, you will play a vital role in this effort by working closely with healthcare providers to improve the accuracy and specificity of medical records. We are seeking a detail-oriented and highly motivated individual with a strong clinical background and a passion for optimizing healthcare documentation. If you are dedicated to promoting excellence in patient care and have the necessary qualifications, we invite you to join our team and make a positive impact on the healthcare industry.

1. Review and analyze medical records to identify areas for improvement in documentation accuracy and specificity.
2. Collaborate with healthcare providers to educate and train them on best practices for clinical documentation.
3. Conduct regular audits and provide feedback to healthcare providers on their documentation.
4. Identify and report documentation deficiencies to appropriate departments for resolution.
5. Stay updated on industry regulations and changes related to clinical documentation and ensure compliance.
6. Implement documentation improvement strategies and processes to enhance overall quality of patient care.
7. Work closely with coding and billing teams to ensure accurate and timely reimbursement.
8. Maintain thorough and organized documentation of all clinical documentation improvement activities.
9. Participate in interdisciplinary team meetings and provide insights and recommendations for documentation improvement.
10. Serve as a resource and point of contact for healthcare providers regarding documentation questions and concerns.
11. Collaborate with IT and other departments to improve electronic health record systems and templates for better documentation.
12. Continuously assess and evaluate the effectiveness of clinical documentation improvement initiatives and make necessary adjustments.
13. Promote a culture of excellence in clinical documentation throughout the organization.
14. Keep up-to-date with industry developments and advances in clinical documentation improvement.
15. Adhere to all privacy and confidentiality policies and procedures in handling patient information.

According to JobzMall, the average salary range for a Clinical Documentation Improvement Specialist in West Palm Beach, FL, USA is $60,000-$85,000 per year. This can vary depending on factors such as experience, education, and specific job duties.

Universal Health Services, Inc. (UHS) is one of the largest and most respected providers of hospital and healthcare services in the nation with more than 90,000 employees dedicated to improving people’s lives and transforming the delivery of healthcare. Through its subsidiaries, the company operates 26 Acute Care hospitals, 328 Behavioral Health inpatient facilities, and 42 outpatient facilities and ambulatory care centers in 37 states in the U.S., Washington, D.C., Puerto Rico and the United Kingdom. UHS also offers health insurance plans through Prominence Health Plan, and manages a network of physicians through Independence Physician Management.