Work whereevery momentmattersEvery day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe Greater Manchester Region has approximately employees It includes Manchester Memorial Hospital a bed community hospital Rockville General a campus of Manchester Memorial Hospital a bed facility a large multispecialty provider group and visiting nurse services The Greater Manchester Region serves a region of people in townsPOSITION SUMMARYThe role of the Clinical Documentation Specialist CDS in the home health and hospice agency is responsible for supporting and facilitating the overall quality of medical record documentation by improving the completeness accuracy and reliability of clinical documentation and insuring compliance with the Conditions of Participation and other regulatory requirements The role is essential to the quality metrics of the agencyWork whereevery momentmattersEvery day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe Greater Manchester Region has approximately employees It includes Manchester Memorial Hospital a bed community hospital Rockville General a campus of Manchester Memorial Hospital a bed facility a large multispecialty provider group and visiting nurse services The Greater Manchester Region serves a region of people in townsPOSITION SUMMARYThe role of the Clinical Documentation Specialist CDS in the home health and hospice agency is responsible for supporting and facilitating the overall quality of medical record documentation by improving the completeness accuracy and reliability of clinical documentation and insuring compliance with the Conditions of Participation and other regulatory requirements The role is essential to the quality metrics of the agencyEDUCATION EXPERIENCEA Registered Nurse or Physical Therapist licensed in the StateExperience in documentation review OASIS certification preferred and working knowledge of ICD coding guidelines is beneficialExperience working in home health and hospice agency setting for or more years years is a plusExperience with clinical documentation integrity and reportable quality data measuresMust be highly detail orientedExceptional analytical and critical thinking skillsExcellent written and verbal communication and interpersonal skillsMust have superior organizational and time management skillsMust have excellent computer skillsKnowledge of accepted quality assurance proceduresKnowledge of patient privacy lawsESSENTIAL DUTIES and RESPONSIBILITIESDisclaimer Job descriptions are not intended nor should they be construed to be exhaustive lists of all responsibilities skills efforts or working conditions associated with the job They are intended to be accurate reflections of the principal duties and responsibilities of this position These responsibilities and competencies listed below may change from time to time Eastern Connecticut Health Network reserves the right to change or assign other duties and responsibilities to this positionExamination of clinical documentation through extensive review of the clinical record with a particular focus on SOCROCRe certs discharge and all OASIS documentationEnsures clinical documentation is complete and accurate and demonstrates the provision of skilled servicesCompletes medical record review of patient records in a timely fashion to permit successful OASIS submissionCollaborates with qualityeducation staff to identify opportunities for improvement in documentation for quality reporting and report based on trends identified through review of documentation to ensure continued improvementStays current with OASIS guidelines CMS regulations and other agency directives including knowledge of ICD CM codingProvide support to ensure that clinical information and quality data utilized in profiling and reporting is complete and accurateIs a positive contributor in how documentation will affect quality outcomes in a timely mannerCollaborate on state and federal audit requests with quality teamIdentifies issues requiring clarification or additional information in the clinical documentation and initiates communication with the appropriate care provider using the established processesMaintains an open and collaborative working relationship with agency staffParticipates in team meetings to discuss cases questions and performance improvement strategiesAssists in other monitoring activities special department projects or other needs as determined by the Agency Director andor the Director of Clinical OptimizationWorks closely with the Director to ensure the performance of the Clinical Support Specialist and the duties contained within that role meet expectationsUltimately responsible for the readiness of the claim for final release to billingThe CDS must exercise independent judgment critical thinking ability to work independently while following CMS guidelines organizational policies and proceduresWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving colleagues we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour momentEDUCATION EXPERIENCEA Registered Nurse or Physical Therapist licensed in the StateExperience in documentation review OASIS certification preferred and working knowledge of ICD coding guidelines is beneficialExperience working in home health and hospice agency setting for or more years years is a plusExperience with clinical documentation integrity and reportable quality data measuresMust be highly detail orientedExceptional analytical and critical thinking skillsExcellent written and verbal communication and interpersonal skillsMust have superior organizational and time management skillsMust have excellent computer skillsKnowledge of accepted quality assurance proceduresKnowledge of patient privacy lawsESSENTIAL DUTIES and RESPONSIBILITIESDisclaimer Job descriptions are not intended nor should they be construed to be exhaustive lists of all responsibilities skills efforts or working conditions associated with the job They are intended to be accurate reflections of the principal duties and responsibilities of this position These responsibilities and competencies listed below may change from time to time Eastern Connecticut Health Network reserves the right to change or assign other duties and responsibilities to this positionExamination of clinical documentation through extensive review of the clinical record with a particular focus on SOCROCRe certs discharge and all OASIS documentationEnsures clinical documentation is complete and accurate and demonstrates the provision of skilled servicesCompletes medical record review of patient records in a timely fashion to permit successful OASIS submissionCollaborates with qualityeducation staff to identify opportunities for improvement in documentation for quality reporting and report based on trends identified through review of documentation to ensure continued improvementStays current with OASIS guidelines CMS regulations and other agency directives including knowledge of ICD CM codingProvide support to ensure that clinical information and quality data utilized in profiling and reporting is complete and accurateIs a positive contributor in how documentation will affect quality outcomes in a timely mannerCollaborate on state and federal audit requests with quality teamIdentifies issues requiring clarification or additional information in the clinical documentation and initiates communication with the appropriate care provider using the established processesMaintains an open and collaborative working relationship with agency staffParticipates in team meetings to discuss cases questions and performance improvement strategiesAssists in other monitoring activities special department projects or other needs as determined by the Agency Director andor the Director of Clinical OptimizationWorks closely with the Director to ensure the performance of the Clinical Support Specialist and the duties contained within that role meet expectationsUltimately responsible for the readiness of the claim for final release to billingThe CDS must exercise independent judgment critical thinking ability to work independently while following CMS guidelines organizational policies and proceduresWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving colleagues we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment