The Royal
Clinical Documentation Specialist
Job Description
Enhance clinical record integrity as a Health Information Management Professional. Ensure compliance with provincial legislation and accreditation standards through meticulous management processes.
This position focuses on the validation and auditing of clinical records, ensuring all documentation meets established standards. Responsibilities include assigning lab reports to physicians, verifying electronic records, and resolving any discrepancies that arise. You will also close outpatient visit records and assist Clinical Record duties as needed.
Key Responsibilities:
• Analyze clinical records for accuracy and validity
• Manage lab report assignments electronically
• Verify and audit documents within the medical record system
• Resolve unclear information with clinical personnel
• Monitor and close open outpatient visit records
Requirements:
• Diploma in Health Information Management (HIM) is mandatory
•...
This position focuses on the validation and auditing of clinical records, ensuring all documentation meets established standards. Responsibilities include assigning lab reports to physicians, verifying electronic records, and resolving any discrepancies that arise. You will also close outpatient visit records and assist Clinical Record duties as needed.
Key Responsibilities:
• Analyze clinical records for accuracy and validity
• Manage lab report assignments electronically
• Verify and audit documents within the medical record system
• Resolve unclear information with clinical personnel
• Monitor and close open outpatient visit records
Requirements:
• Diploma in Health Information Management (HIM) is mandatory
•...