What are the responsibilities and job description for the Medical Documentation Quality Assurance Manager position at Brockton Hospital?
Brockton Hospital is dedicated to providing quality, personalized medical services to the Southeastern Massachusetts community. As a Clinical Documentation Specialist, you will play a critical role in ensuring the accuracy and completeness of patient records.
About the Role
This full-time position requires strong analytical and communication skills, as well as the ability to learn and develop new skills quickly. You will work collaboratively with Coding, Medicine, Nursing, Case Management, the Quality Department, and ancillary staff to review medical records and ensure accurate DRG assignments, case-mix index, severity of illness, and risk of mortality profiling.
This position involves performing concurrent analytical reviews of medical records to ensure accurate representation of patients' severity of illness. The successful candidate will be responsible for formulating clinically credible documentation clarifications, communicating effectively with physicians, and facilitating modifications to clinical documentation to ensure appropriate reimbursement.
Key Responsibilities
- Review medical records for accuracy and completeness
- Develop and implement strategies to improve clinical documentation
- Collaborate with interdisciplinary teams to address clinical documentation concerns
- Communicate effectively with physicians and other healthcare professionals
- Participate in ongoing education and training to stay current with industry developments
Requirements
We are seeking an experienced Registered Nurse with a strong background in acute care facilities. A minimum of five years of clinical experience is required, preferably in critical care areas or strong medical/surgical backgrounds. Prior experience with computer applications, Windows-based software programs, and electronic health records is also essential.
