Clinical Documentation Specialist at University of Maryland Medical System

DOCUMENTATION: Facilitates initial assessment of the quality of clinical documentation for all types of patients. Reviews relevant sections of the record and develops a documentation improvement plan consistent with the clinical picture of each patient.TEAMWORK: Engages in face-to-face time with physicians; describes what documentation is necessary for accurate coding; explains benefits of accurate/timely clinical documentation. Provides leadership and facilitates multidisciplinary discussions regarding documentation improvement. Assists in correcting knowledge deficits on part of physicians and other staff members. Assumes a leadership role in continual assessment of the quality of documentation and identifies opportunities for improvement. Organizes and participates in training and CDI program promotional activities for physicians and staff.Qualifications : 4 year / Bachelors Degree: Nursing (required)Masters Degree (preferred)Registered Nurse Certified (required)RHIA RHIT (preferred)4 - 6 years Clinical Nursing or Health Information Management experience (required)6 - 9 years Clinical Nursing or Health Information Management experience (preferred)Required Skills: Strong Verbal Communications Skills Basic Computer skillAdditional Information : All your information will be kept confidential according to EEO guidelines.Compensation:Pay Range: $38.67-$58.05Other Compensation (if applicable):Review the 2025-2026 UMMS Benefits GuideLike many employers UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details personal identification or payment via email or text. If you suspect fraud please contact us at Remote Work : NoEmployment Type : Full-time Key Skills Environment,Ado,Carpentry,Drafting,Front Office Management,Airlines Experience: years Vacancy: 1