Clinical Documentation Specialist, Outpatient

Welcome to the University of Chicago Medicine, where we strive to provide world-class healthcare to our community. We are currently seeking a dedicated and detail-oriented Clinical Documentation Specialist to join our Outpatient team. As a Clinical Documentation Specialist, you will play a crucial role in ensuring accurate and timely documentation of patient medical records. This position requires a strong understanding of outpatient coding and billing guidelines, as well as excellent communication and critical thinking skills. If you are passionate about healthcare and have a keen eye for detail, we would love to have you on our team.

1. Review and analyze outpatient medical records to ensure accuracy and completeness of documentation.
2. Collaborate with physicians and other healthcare providers to clarify and obtain missing or unclear information in medical records.
3. Identify and report any discrepancies or inaccuracies in medical records to appropriate staff for correction.
4. Ensure compliance with outpatient coding and billing guidelines.
5. Conduct regular audits to monitor and improve documentation practices.
6. Provide education and training to healthcare providers on proper documentation practices.
7. Maintain current knowledge of coding and billing regulations and guidelines.
8. Communicate effectively and professionally with patients, physicians, and other healthcare staff.
9. Utilize critical thinking skills to identify and resolve documentation issues.
10. Assist with the development and implementation of documentation improvement initiatives.
11. Maintain patient confidentiality and adhere to all HIPAA regulations.
12. Work collaboratively with other members of the healthcare team to ensure high-quality patient care.
13. Attend departmental meetings and participate in quality improvement projects.
14. Uphold the mission and values of the University of Chicago Medicine.
15. Take initiative to continuously improve documentation processes and procedures.

According to JobzMall, the average salary range for a Clinical Documentation Specialist, Outpatient in Chicago, IL, USA is $56,000 - $75,000 per year. This may vary depending on factors such as experience, education, and employer.

The University of Chicago Medical Center is a nationally ranked academic medical center located in Hyde Park on the South Side of Chicago. It is the flagship campus for the University of Chicago Medicine system and was established in 1898.