What You Should Do to Qualify as a Clinical Documentation Specialist
You will be in charge of maintaining medical records charts and reports unsolved issues that involve the documentation of records of patients. You can read more about what they do here if you want to become a clinical documentation specialist. You need to read more about what they do with the EHR system among other tools.
Post-secondary certifications take two years. They will also teach your computer systems and database-oriented practices. Second-year course work deals with medical transcription, human diseases and an internship. Some institutions have classes that teach standard office practices and business communication in their programs.
Take up a degree in Bachelor of Science degree programs in health information management (HIM). Most institutions offer HIM or HIT degree programs that incorporate internships or field experiences to develop graduates who have the skills that are needed in the industry. Also, HIT degree is offered in the following colleges; thus, read more about what they do. Choose an education path that has coding coursework.
Both masters programs of HIM and HI are practical to offer you experience, but HI is more of research. HIM and HI masters programs will teach you different things that are all related to the health industry.
You need to know the requirements of your state for one to be certified or licensed as a qualified clinical documentation specialist. You can get the RHIT certification from American Health Information Management Association (AHIMA) and read more about what they do. Alternatively, American Academy of Professional Coders (AAPC) also offers the RHIT certification; therefore, read more about what they do. ACDIS teaches and RHIT anatomy, pharmacology, insurance regulations, coding guidelines and more. Being a member of RHIA allows you to work as a clinical documentation specialist legally; hence, read more about what they do.
Get working experience for about two to five years in nursing or health information management. Duties of RNs are obtaining medical histories, running tests and assessing the health condition of the patients. You need to read more about what they do. You will earn more than an RHIT.
These voluntary certifications add value to your CV. You can advance your career by proving your competency with a Certified Clinical Documentation Specialist (CCDS) credential.
RNs renew their licenses after two years, and they should provide documents to support that they have completed education course work for their licenses to be renewed. An RHIA will take thirty continuing units.
The medical secretary performs clerical tasks like scheduling appointments for patients, answering phones, collecting data on the medical history of the patients and more; hence, read more about what they do. You can get a job as a medical transcriptionist. It does no harm to start at the low-level as a medical secretary or medical transcriptionist if you cannot get a position as RHIT or RHIA in places that you are applying because the employer may be using that to want to know more about you.