Clinical Documentation Specialist I. 40hrs/Days. $5000 bonus.

MetroWest Medical Center is the largest community health care system between Worcester and Boston. MetroWest Medical Center is committed to providing high quality, comprehensive care, at a location close to home. The 307-bed regional healthcare system includes Framingham Union Hospital, Leonard Morse Hospital in Natick and the MetroWest Wellness Center. MetroWest Medical Center has been named to the 2019 America�s 100 Best Hospitals List by Healthgrades.

POSITION PURPOSE:

Responsible for improving overall quality and completeness of clinical documentation. Performs concurrent record reviews on all selected admissions and documents findings. Facilitates modifications to clinical documentation to ensure completeness through extensive interaction with physicians or medical staff departments. Serves as a resource for physicians to help link ICD-10-CM coding guidelines and medical terminology to improve accuracy of documentation. Reports results of audits to departments and committees. Identifies opportunities for intradepartmental and interdepartmental operational improvements. Participates in program related meetings, physician and staff education, staff development, departmental activities and in-service opportunities.

EDUCATIONAL REQUIREMENTS:

Graduate of an approved Health Information Technology/ Management program with credentials of RHIA, RHIA eligible, RHIT, RHIT eligible, CCS, CCS-P and /or graduate from an accredited nursing program with LPN or RN licensure.

EXPERIENCE REQUIRED:

Two years of experience in acute care setting. Knowledge of care delivery documentation systems and related medical record documents. Computer skills and familiarity with basic office equipment required. Exposure to MS DRG coding classification preferred.

PROFESSIONAL LICENSURE AND CERTIFICATION REQUIRED:

RHIA, RHIA eligible, or RHIT, RHIT eligible, or CCS, CCS-P,or RN, LPN licensure