Top 637 Clinical documentation Jobs in Rockledge Fl

Medical Record Review Auditor - Health Information Services
Health First Careers —Rockledge, FL
- Per diem
- Microsoft Excel
- Hospital
- Ability to walk for extended periods
- Health insurance
Advanced Practice Nurse
Bell Eve Treatment Center —Cocoa, FL
- $55 an hour
- PRN
- Mid-level
- Outpatient experience
- Outpatient
- Flexible schedule
Quick Apply
Lymphedema Therapist
EdemaCare —Melbourne, FL
- Part-time
- Bilingual
- Background check
- Mid-level
- Mileage reimbursement
- Disability insurance
Quick Apply
Licensed Clinical Social Worker
Headway —Florida
- Up to $121.74 an hour
- Remote
- Private practice
- Licensed Clinical Social Worker
- Mid-level
Medical Assistant
Qoros Cardiovascular Care —Merritt Island, FL
- From $19 an hour
- Full-time
- Private practice
- Spanish
- Vital signs
- Health insurance
- Dental insurance
Quick Apply
Speech-Language Pathologist-Recent graduates welcome
Hetherington Therapy —Palm Bay, FL
- Up to $110,000 a year
- Choose your own hours
- School experience
- Master's degree
- Clinic
- Continuing education credits
- Relocation assistance
Quick Apply
Registered Nurse
Sunrise Point Health and Rehab Center —Rockledge, FL
- $33.00 - $38.50 an hour
- Full-time
- Background check
- CPR Certification
- Skilled nursing facility
- 401(k)
- Paid time off
Quick Apply
Licensed Clinical Social Worker
zeccardi inc —Florida
- From $55.24 an hour
- Part-time
- Remote
- Licensed Clinical Social Worker
- Mid-level
- Older adults
- Work from home
Quick Apply
5d
Board Certified Behavior Analyst (BCBA)
The Sonder Autism Center —Melbourne, FL
- From $75,000 a year
- Full-time
- Experience working with individuals with disabilities
- Computer literacy
- Writing skills
- Health savings account
- Health insurance
Quick Apply
14d
Clinical Care Coordination - Outpatient & Community Svcs - PHLEBOTOMY A MUST- Brevard County FL
UCHS —Palm Bay, FL
- $21 - $23 an hour
- Full-time
- Outpatient experience
- Travel
- In-person
- Health insurance
- Dental insurance
Quick Apply
Licensed Clinical Psychologist
Headway —Florida
- Up to $196.24 an hour
- Remote
- Private practice
- Master's degree
- Psychology
Care Coordinator
Sirius Healthcare —Melbourne, FL
- $19.65 - $22.00 an hour
- 8 hour shift
- Spanish
- BLS Certification
- HIPAA
- Paid training
- Mileage reimbursement
Quick Apply
Physical Therapist - FT and PRN Available
Sunrise Point Health and Rehab Center —Rockledge, FL
- Full-time
- Background check
- Hospital
- Physical & Rehabilitation Medicine
- Health insurance
- Dental insurance
Quick Apply
Nurse Practitioner
Family Practice of Suntree and Viera, P.A. —Melbourne, FL
- $35 - $50 an hour
- Part-time
- Nursing
- Vital signs
- Internal Medicine
- Health insurance
- Dental insurance
Quick Apply
Nurse Practitioner - Post Acute
Cardiac Vision —Melbourne, FL
- From $110,000 a year
- Choose your own hours
- Skilled nursing facility
- BLS Certification
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
RN Registered Nurse Home Health
Amedisys —Melbourne, FL
- $75,000 - $94,000 a year
- Full-time
- CPR Certification
- Nursing
- Management
- Mileage reimbursement
- Paid parental leave
Bilingual Medical Assistant
Soriano Med —Rockledge, FL
- $20.00 - $21.50 an hour
- Full-time
- Spanish
- Vital signs
- BLS Certification
- 401(k)
- 401(k) matching
Quick Apply
8d
Nephrology Nurse Practitioner/ Physician Assistant
Moxie Health Group —Merritt Island, FL
- Up to $110,000 a year
- Part-time
- CPR Certification
- Nursing
- BLS Certification
- Paid training
- Flexible schedule
Quick Apply
13d
Physical Therapist Home Health
Brooks Rehabilitation —Florida
- Part-time
- BLS Certification
- Physical & Rehabilitation Medicine
- Mid-level
- Travel reimbursement
- Continuing education credits
Quick Apply
Physical Therapist (PT) Home Health - Brevard County, FL
Senior Care Solutions —Brevard County, FL
- Part-time
- CPR Certification
- BLS Certification
- Physical & Rehabilitation Medicine
Quick Apply
7d

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Medical Record Review Auditor - Health Information Services

Health First Careers -
Rockledge, FL

Apply Now

Job Details

Per diem

Benefits

Health insurance

Qualifications

Computer operation
Customer communication
Microsoft Excel
Desktop applications
Productivity software

Full Job Description

Job Requirements

POSITION SUMMARY:

To be fully engaged in providing Uncompromised Safety, Superior Quality, Memorable Patient/ Customer Experiences, and Financial Stewardship by:

Maintaining accurate and complete medical records for each patient treated at Health First.
Assuring that the confidentiality, security, and integrity of the data and information is maintained.
Abstracting and compiling clinical data in a meaningful manner to allow for quality improvement, benchmarking, identification of trends and development of action plans.
Our goal is to provide complete and timely use of data and information, without compromising security and confidentiality. Responsibilities may vary based on job role within the department.

PRIMARY ACCOUNTABILITIES:

Quality/No Harm:

Demonstrates competence in the following clinical applications to include: SCM, ED Manager, eMon, SIS, HPF/QCI, RRA, Laserfiche and Midas. Proficiently navigates through the above listed clinical applications in order to:

Identify patient using two patient identifiers and able to locate appropriate chart based on that information.
Verify the accuracy of demographic area.
Proficiently navigates through Microsoft Office applications to include: Word, Excel, and Power Point.
Responsible for confidentiality, security, and integrity of all personal health information for all patients
Writes scanned and indexed batches to the appropriate queue according to departmental policy and procedure at least 98% of the time.
Monthly, ongoing chart reviews (Clinical Pertinence, Medical, Surgical and Critical Test Results) are completed in a timely manner 100% of the time. Results are tabulated and formatted in a consistent manner for presentation on a timely basis. Reports are available for review one week prior to the date of presentation. These reviews include medical record review committee audits as well as audits related to Patient Safety, Quality Improvement, National Patient Safety Goals, etc.
Items which fall out on audits are copied and forwarded to a designated person responsible for follow up with the appropriate parties at each facility.
Maintain and coordinate review forms for chart reviews across all facilities and chairs/co-chairs Medical Record Review Committee.
Assist in validation and monitoring of quality related to content and completeness of legal health record.
Adequately prepares for meeting(s), sending or emailing notices and preparing the agenda. Attends meeting on time to distribute packets to members. Completes original minutes for committee binder.
Responsible for attending and reporting results at assigned facilities and assisting in creating action plans to improve compliance and documentation.
Participation in Joint Commission Readiness meetings, chart reviews and assist as necessary to surveys.
Complete additional focused reviews as assigned by HIM Manager.
Responsible for correcting incorrect chart documentation to include wrong patient, wrong accounts, and other discrepancies. Performs Adjust Document Index function to include correctly inserting, splitting, moving, and appending pages/documents when and where appropriate at least 98% of the time.
Charts are accurately analyzed according to Joint Commission requirements and Medical Staff Bylaws and Rules and Regulations, correctly identifying missing elements and assigning deficiencies to the correct physician at least 98% of the time.

Customer Experience:

Provide patient information to appropriate requesters in a timely and efficient manner.
Understands the confidentiality of patient information and proper dissemination of this information. Adheres to all Health First policies and procedures in regards to protected health information. Consults with management to clarify any concerns.
Coordinates on-site medical record audit requests for external and internal requestors. Audits are available for review to authorized individuals at the time and date agreed upon when the request was submitted.
Provides assistance with any questions the physicians may have about their deficiencies and how to access assignments/complete deficiencies through the physician portal or directs the physician to the appropriate person for clarification.
Works closely with the Quality Department regarding documentation compliance and record content.

Stewardship:

Takes initiative to take on additional assignments or changes in scheduling based on daily observations in a willing manner.
Assesses the need to contribute to analysis or other areas that could be falling behind departmental targets.
Ensure that all external audits are appropriately followed up and completed after approval of the HIM Manager 100% of the time Understands and supports the processing of reports according to department turn-around-time goals.

Work Experience

QUALIFICATIONS REQUIRED:

RHIA or RHIT or eligible within 24 months
1-3 years of previous health information management experience preferred
Excellent computer skills and proficiency with Microsoft Office applications
Understanding of Joint Commission standards, State Regulations, HIPAA, CMS and Medical staff rules and regulations requirements preferred

PHYSICAL DEMANDS:

Visual acuity to include viewing PC monitor for extended amount of time.
Ability to enter data and work with medical records using hand/wrist dexterity.
Should be able to appropriately transport 25 pounds of medical records.
Ability to sit at a computer for extended periods of time.
Ability to walk or stand for extended periods of time.
Ability to bend and stoop.
Ability to travel to all facilities/campuses across the IDN.

MENTAL DEMANDS:

Ability to read and comprehend instructions, correspondence, memos, and electronic mail
Excellent computer and skills with the ability to enter and retrieve data from electronic systems
Strong written and verbal communication skills for professional interaction
Must be detail and accuracy oriented.
Ability to work independently and maintain focus on the scope of work assigned.
Must be self-sufficient, not needing to rely on others to complete a job.
Ability to coordinate and use logical reasoning to prioritize tasks and manage multiple tasks simultaneously
Initiative – independently takes prompt proactive steps toward problem resolution.
Analytical skills – effective evaluation, synthesis and use of information gathered.
Must be able to work under potentially stressful situations with time constraints
Ability to use critical thinking and problem solving skills to carry out all job functions and responsibilities
Emotional intelligence – recognize and understand emotions and use this awareness to successfully manage yourself and your relationships with others.

Benefits

ABOUT HEALTH FIRST

At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.

Schedule : Per Diem

Shift Times : 800am430pm

Paygrade : PG-28

Apply Now

Refine Your Search

clinical documentation jobs in rockledge fl

Medical Record Review Auditor - Health Information Services

Advanced Practice Nurse

Lymphedema Therapist

Licensed Clinical Social Worker

Medical Assistant

Speech-Language Pathologist-Recent graduates welcome

Registered Nurse

Licensed Clinical Social Worker

Board Certified Behavior Analyst (BCBA)

Clinical Care Coordination - Outpatient & Community Svcs - PHLEBOTOMY A MUST- Brevard County FL

Licensed Clinical Psychologist

Care Coordinator

Physical Therapist - FT and PRN Available

Nurse Practitioner

Nurse Practitioner - Post Acute

RN Registered Nurse Home Health

Bilingual Medical Assistant

Nephrology Nurse Practitioner/ Physician Assistant

Physical Therapist Home Health

Physical Therapist (PT) Home Health - Brevard County, FL

I want to receive the latest job alert for clinical documentation in rockledge fl

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