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18 نوفمبر 2014

Clinical Documentation Specialist





Global Medical Recruiting seeking qualified and experienced candidates from AUSTRALIA and NZ for the Clinical Documentation Specialist vacancies at HMC Qatar039s leading public healthcare provider.

The ideal candidate will have direct nursing managementaccreditation and quality improvement experience as well as at least 5 years medical recordshealth information management experience.

You will have exceptional opportunities to develop your career in a professionally stimulating environment.

HMC is an international healthcare system which delivers a comprehensive range of acute healthcare services to the population of Qatar. HMC is large and complex currently employing 16000 clinical staff across eight hospitals accredited by the Joint Commission International JCI.

POSITION SUMMARY The chief responsibility of the clinical documentation specialists is to bridge the gap between the physician039s documentation in line with JCI guidelines and nbsppolicies and to support the corporation039s objectives with regards to clinical coding. The roles of the clinical documentation specialists are needed to ensure that we address the inaccurate documentation and data which will lead to inappropriate DRG assignments that ultimately reduce payments to the organization.



JOB DETAILS

PRINCIPAL ACCOUNTABILITIES

Obtaining appropriate clinical documentation through extensive interaction with physicians nursing staff other care team members and medical records coding staff.

Educating all members of health care providers on documentation guidelines on an ongoing basis.

Actively involved in policy review and development by being a member of the JCI chapter lead team.

Demonstrating knowledge and skills necessary to provide care appropriate to the age of the patients served.

Demonstrating knowledge of the principles of growth and development over time.

Maintaining quality admission reviews and ensuring quality audit cycle is complete.

Supporting the growth and development of care team members and understands and works to the objectives of the National Health Strategy and Vision for 2030.

Facilitating improvement in the overall quality completeness and accuracy of medical record documentation by conducting audit of open and closed records.

Conducts immediate learning techniques in regards to JCI Accreditation standards and HMC clinical and administrative policies.

Participating in performance improvement activities.

Feed back to clinical coding data quality group findings and recommendations from clinical coding audits.

Monitor the completeness timeliness and accuracy of clinical data.

Maintain and further enhance the levels of clinician interaction.

To demonstrate the continued achievement of high standards of documentation to support clinical coding in order to ensure that both clinicians and managers maintain a high level of confidence in the quality of the data.

Checks and analyses medical records for accuracy adequacy and consistency of documentation.

Account for daily discharges and performs audit as necessary. Perform other related functions.



KEY RELATIONSHIPS

Hospital Executives and COS

Chairman amp Heads of Department

Physicians for clarification of documentation

Nurses for status of inhouse patients

HIS personnel for data processing and information technology

Finance and HR staff



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