A clinical documentation specialist works with large hospitals and healthcare facilities to help maintain proper records-keeping, as well as provide primary healthcare providers with easy access to any documents needed for patient care. Because these clinics and hospitals generate a large number of records, notes, recommendations, and referrals, this position fills a key role in managing that information.
Clinical Documentation Specialist Tasks
Work with clinical staff to obtain information for patient records.
Ensure that all patient documents and records are maintained in accordance with legal guidelines.
Review accuracy, quality and completeness of clinical records.