Medical Documentation Specialist
Medical Documentation Specialist
Posted on :
07-06-2025
Employer Active
1 Vacancy
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Job Description
- POSITION SUMMARY
- This position is under the supervision of the Manager of HIM Operations or designee. This position coordinates quality reviews of provider documentation and provides feedback to providers for continuous documentation improvement. These results are reported monthly to the HIM Director and Medical Staff Chief and the Trinity Quality Committee. This position will be involved in educating providers on the guidelines for compliant documentation. This position will be responsible for contacting and meeting with providers in follow-up to documentation reviews. This position will also be responsible for training new providers on documentation input methods including but not limited to Dragon Ambient Listening (AI) options and other methods of documentation.
- This position is under the supervision of the Manager of HIM Operations or designee. This position coordinates quality reviews of provider documentation and provides feedback to providers for continuous documentation improvement. These results are reported monthly to the HIM Director and Medical Staff Chief and the Trinity Quality Committee. This position will be involved in educating providers on the guidelines for compliant documentation. This position will be responsible for contacting and meeting with providers in follow-up to documentation reviews. This position will also be responsible for training new providers on documentation input methods including but not limited to Dragon Ambient Listening (AI) options and other methods of documentation.
- MINIMUM QUALIFICATIONS AND REQUIREMENTS
- Licenses and Certifications Required
- Registered Health Information Technician (RHIT) or Certified Medical Transcriptionist (CMT) preferred.
- Registered Health Information Technician (RHIT) or Certified Medical Transcriptionist (CMT) preferred.
- Educational Requirements
- High school diploma or GED required.
- High school diploma or GED required.
- Experience Requirements
- Three (3) years experience in integrated health system. Three years experience with documentation software (Dragon DAX and other input methods).
- Three (3) years experience in integrated health system. Three years experience with documentation software (Dragon DAX and other input methods).
- Special Skills or Training Requirements
- Intermediate or Expert knowledge level of electronic medical records.
- Must be computer literate and able to use MS Word Excel and PowerPoint.
- Possess knowledge of existing and emerging federal and state requirements related to documentation guidelines of health information.
- Must be well organized and have good written and verbal communication skills.
- Strong ability to apply critical thinking.
- Excellent customer service skills.
- Strong attention to detail.
- Intermediate or Expert knowledge level of electronic medical records.
- Licenses and Certifications Required
Required Experience:
Unclear Seniority
Employment Type
Full Time
Key Skills
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