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Overview
The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position.
A Documentation Improvement Specialist is responsible for coordination of the review of concurrent inpatient clinical documentation. The Documentation Specialist works with providers to ensure that clinical disease processes are accurately documented and that the documentation appropriately reflects the patient's severity of illness.
The Documentation Improvement Specialist functions under the direct authority and supervision of the Director of Health Information Management.
Some of the many skills performed
· Daily management of concurrent documentation improvement functions
· Coordination of concurrent coding clarification issues with physicians
· Timely reporting of concurrent coding/documentation improvement efforts
Qualifications
EDUCATION
· Associate degree or other two year college equivalent
· Graduate from an accredited Health Information Technician (HIT) program, Health Information Management (HIM) program or RN education program, BSN preferred
LICENSURE/CERTIFICATION:
- Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) with a minimum of 2 years experience in supervision or management with 1 - 3 years of coding experience
- Registered Nurse license with a minimum of five (5) years nursing experience in med/surg, critical care, or emergency services
About Us
Lake Guntersville, a mountain-lakes jewel, is located approximately 30 miles from metro Huntsville – and is home to Marshall Medical Centers.
Marshall Medical Centers, an affiliate of the Huntsville Hospital Health System, serves the residents of Marshall County and the surrounding area (population approximately 125,000). With two hospitals, eight outpatient locations and a highly-trained team of physicians practicing 28 specialties, Marshall Medical is a confident, convenient choice for local healthcare. Residents can remain close to home and receive excellent care – often provided by those who are neighbors and friends.
Marshall Medical Center South is a 150-bed hospital in Boaz, Alabama, and opened in 1956. Marshall Medical Center North, in Guntersville, opened in 1990 – and – is a 90-bed facility. In addition to the two hospitals, the Gary R. Gore Medical Complex is conveniently located mid-county and is home to several outpatient clinics and a 22,000 square foot comprehensive Cancer Care Center.
Named by the Joint Commission as a “Top Quality Performer” among America’s hospitals, Marshall Medical Centers’ patients can be assured they are being treated in an environment where a premium is placed on quality and best practices.
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