Overview

The Quality Documentation Specialist is responsible for concurrent and retrospective review of medical record documentation to collect quality data elements as specified by the CMS/TJC specifications manual or registry manual. Communicates with physicians and physician extenders or nurses regarding missing, incomplete, unspecific, unclear, or conflicting documentation or impending opportunities within measured time frames. Enters findings into vendor database for hospital measures. Gathers, analyzes and shares information pertinent to documentation findings and outcomes. Provides subject matter expertise and outreach regarding measure set/registry metrics for designated population. Skills in Excel, Power Point and data visualization technology, such as Tableau, are essential. Onsite presence is an expectation as determined by manager. Location presence may be required at acute clinical care facilities.
Department Description

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.

EOE

Licensure

Registered Nurse Required
Education

Bachelor's Degree Nursing Preferred - Or Associate's Degree Nursing Required - With Equivalent Experience
Experience

5 Years Nursing - Related Area Required - With Preferred Education Or 7 Years Nursing - Related Area Required - With Required Education.

Adult ICU and/or Adult ED experience preferred

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