Job Details
Summary
- **Recent acute care experience required, must have a minimum of 5 years' experience.
This individual is responsible for facilitating the improvement in the overall quality and completeness of medical record documentation. S/he will obtain appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers and coordinate with Health Information Management coding staff to ensure that appropriate reimbursement is received for the level of services rendered to patients. S/he will also assure that the clinical information utilized in profiling and reporting outcomes is complete and accurate. S/he will provide education for all members of the patient care team on documentation guidelines. - Required Minimum Knowledge, Skills, and Abilities (KSAs)
- Education: BSN or 4-year-degree preferred.
- License/Certifications: State licensed R.N.
- Experience: Recent clinical experience (minimum 5 years).
- Strong organizational and prioritization skills and demonstrated leadership skills.
- Excellent communication skills adaptable to individual levels of understanding.
- Highly developed problem solving, deductive reasoning skills.
- Dependable, self-directed, and respectful.
- Able to participate collaboratively with all members of care team.
- Ability to learn/develop the skills necessary to perform the Clinical Documentation Management Program.
Additional Information With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it.
We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.
MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you're looking to build a career in a place where people help one another deliver best-in-class care, apply today.
Additional Information MaineHealth is a health system whose members and affiliates include hospitals, physician practices, long-term care facilities, home care agencies, and support services. Learn more about this system at www.mainehealth.org