Documentation Specialist

About the Role

Ensure compliance by supporting the patient’s perspective and protecting patient rights.

Responsibilities

• Review all discharged patient records daily for completeness and to meet regulatory standards.
• Perform data abstraction and analysis to meet specific requirements by various payers and regulatory bodies.
• Collect and present data in a useful format to drive facility performance improvement initiatives.
• Attend performance improvement meetings, participate in projects, and provide support in meeting routine regulatory goals.
• Assist the department director in routine departmental assignments and assigned tasks.
• Collaborate with clinical teams on patient safety and quality of care issues.
• Participate in the risk management process and quality of care initiatives.
• Participate in developing quality improvement plans and goals for the facility, and support the implementation process to achieve performance goals.
• Demonstrate a positive, empathetic, and professional attitude toward customers at all times.
• Acknowledge and work to resolve complaints when patient needs are not met.
• Recognize that patient safety is a top priority.
• Perform other functions and tasks as assigned.

Requirements

• High school diploma or equivalent required.
• Bachelor's degree in health services preferred.