Documentation Supervisor coordinates the production of functional, configuration, and user interface documentation for computer software and hardware products. Collaborates with technical teams to prepare accurate content. Being a Documentation Supervisor reviews edits and approves the final content. Ensures that standardized documentation methods and tools are deployed and that required document control procedures are employed. Additionally, Documentation Supervisor monitors project deliverables and timelines to ensure on-time delivery of release notes, manuals, and online content. Requires a bachelor's degree or equivalent. Typically reports to a manager. The Documentation Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. To be a Documentation Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)
Responsible for assessing, planning, implementing, coordinating, monitoring, and evaluating physical and psychological factors. Works collaboratively with Medical Staff, Nursing Staff and other patient care givers to improve the quality of chart documentation to accurately reflect patient severity and complexity of treatment. Perform initial case review and appropriate follow-up reviews based on judgment of clinical picture.
Educational and/or Professional Qualifications:
1. Must have one of the following certifications: Registered Nurse (RN), Licensed Practical Nurse (LPN), Respiratory Therapist (RRT or CRT), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS).
Previous Experience:
1. One of the following is required:
A. If RN or LPN, RRT, or CRT must have a minimum of 3 years clinical nursing experience.
B. If Coder, must have a minimum of 3 years coding experience.
2. A minimum of 3 years of experience as a Clinical Documentation Improvement Specialist is preferred.
2. Previous experience in Quality Resource Management desirable.
Other Special Training/Skills:
1. Knowledge of care delivery documentation systems and related medical record documents.
2. Knowledge of elements of disease processes and related procedures.
3. Thorough, up-to-date clinical skills.
4. Current working knowledge of medical terminology, coding, pathophysiology, anatomy and physiology, pharmacology, surgical procedures, etc.
3. Experience working directly with physicians.
4. Excellent communication and negotiation skills are essential.
5. Ability to prioritize responsibilities and use appropriate time management skills.
Licensure, Certification, Registration, etc.:
1. National coding certification desired (AHIMA’s RHIA, RHIT, CCS, CDIP preferred)
2. Current license as a Registered Nurse or a Licensed Practical Nurse in the State of Louisiana.
3. National Clinical Documentation Certification Desired (ACDIS’s CCDS)
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