Clinical Documentation Specialist

Perform routine administrative functions such as drafting correspondence, scheduling appointments, organizing and maintaining paper and electronic files, or providing information to callers.

Interact with customers to provide basic or scripted information in response to routine inquiries about products and services. May handle and resolve general complaints. Excludes individuals whose duties are primarily installation, sales, repair, and technical support.

Assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled patients. May advise patients on health maintenance and disease prevention or provide case management. Licensing or registration required.

Operate data entry device, such as keyboard or photo composing perforator. Duties may include verifying data and preparing materials for printing.

Responsible for coordination/management of patient’s care and evaluating services needed for patients. Manages patient case files, collaborates with medical service providers, and interacts with families to help with complex medical decisions.

Prepare medications under the direction of a pharmacist. May measure, mix, count out, label, and record amounts and dosages of medications according to prescription orders.

A full-time nurse is required for on-site support of company staff. Must be a registered nurse from an accredited school of nursing and retain the accreditation throughout employment. Required to provide first aid for any minor injury cases and escalate if the case is too serious to handle on-site. Counsel and assist the patient family as well as patient to create a safe and therapeutic environment. Work with a recovery-focused attitude. Assist patients to understand their treatment plans and follow up when needed to check if they are following the plan. Provide administrative support to the medical doctors and consultants related to patient care. Provide help support and ensure that all sanitary guidelines are met to provide a clean and sanitary environment on the entire premises.

Plan, direct, or coordinate one or more administrative services of an organization, such as records and information management, mail distribution, and other office support services.