Clinical Documentation Specialist

Job description / Role

As Qatars leading medical services organization, we are offering you an exciting opportunity to be a part of our dedicated and enthusiastic team of healthcare professionals.

Our healthcare services are internationally recognized as a high standard, comparable with other developed countries. We have a countrywide network of hospitals and healthcare centers which utilize the most advanced medical equipment available today and provide care from highly qualified staff.

Now is your chance to be part of this world-class team!

Principal Accountabilities:
- Facilitating improvement in the overall quality, completeness, and accuracy of medical record documentation by conducting concurrent review of open records.
- Concurrent audits and conducts immediate learning techniques.
- 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.
- 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.
- Completing follow-up of admission reviews.
- Supporting the growth and development of care team members.
- Participating in performance improvement activities.
- To keep abreast of clinical coding standards, reporting, information policies and statistical trend.
- Feed back to clinical coding data quality group findings and recommendations from clinical coding audits.
- Monitor the completeness, timeliness, and accuracy of clinical data.
- To achieve the corporations targets for standards of accuracy, completeness, and timeliness of clinically coded data.
- Maintain and further enhance the levels of coder documentation specialist / clinician interaction.
- To demonstrate the continued achievement of high standards of documentation in order to ensure that both clinicians and managers maintain a high level of confidence in the quality of the data.
- To plan and develop an effective documentation audit programme and develop and implement coding strategies, policies and procedures across the Corporation
- To assist the development of a clinical coding training programme for staff.
- To provide a source of expertise and guidance on diagnostic and procedure coding to all disciplines within the Corporation and across the health economy.
- To keep abreast of documentation and clinical coding standards, reporting, and information policies.
- To develop and plan a documentation audit programme involving clinician and clinical coders.
- Feed back to clinical coding data quality group findings and recommendations from documentation and clinical coding audits.

Requirements

- A bachelors degree in Nursing, allied health, medicine, HIM or equivalent.
- Completion of a 4 year diploma in general nursing where that diploma in general nursing is recognized to be the equivalent standard to BS
- 3-5 years in medical records/health information (direct practice experience i.e., nursing- counts towards experience)

Preferred Education::
- Masters degree in nursing, allied health, medical,HIM or equivalent from home country
- 7+ years in medical records processing in ICD 9/10 coding; preferred training in ICD coding

Computer Skills:
- Computer literacy

Language Skills:
- English essential, Arabic preferred

Key Competencies:
- Human anatomy
- Medical terminology
- Physiology
- Pathology and other hospital environment
- Problem Solving/Decision Making:
- Resolves issues in timely manner.

Key Relationships:
- Hospital Executives and COS
- Chairmen & Heads of Department
- Physicians for clarification of documentation
- Nurses for status of in-house patients
- HIS personnel for data processing and information technology
- Finance and HR staff

If interested, kindly apply directly on http://www.healthcarejobs.hamad.qa/en/

About the Company

Hamad Medical Corporation (HMC) is the principal public healthcare provider for the State of Qatar. HMC is committed to actively contributing to and enabling the sustainable development of Qatar and its people in alignment with the Qatar National Vision (QNV) 2030.

HMC believes in excellence in healthcare, education and research with each supporting the other to provide the safest, most effective and compassionate care to each and every one of our patients.

To meet the healthcare challenges of Qatars growing population, Hamad has transformed into a thriving and integrated Academic Health System which will make significant, positive impacts upon patient care, medical education and medical research.

In addition to three general hospitals (Al Khor Hospital, Al Wakra Hospital and The Cuban Hospital) HMC also manages five specialist hospitals (Hamad General Hospital, Rumailah Hospital, Womens Hospital, the National Center for Cancer Care and Research and Heart Hospital) which look after patients with the most prevalent conditions, including cancer, heart conditions, rehabilitation, and providing specialist treatment for women and children.