OVERVIEW The Clinical Documentation Specialist ensures the accuracy, completeness, timeliness, accessibility, confidentiality, and integrity of the health record. The role combines health information management and clinical documentation practices with specialized quality assurance, report distribution, documentation-completeness monitoring, and clinician workflow support. This role involves close collaboration with physicians and residents to offer training for clinical documentation dictation, optimize clinical documentation integrity, and facilitate quality patient care.

EDUCATION

- Diploma or degree in Health Information Management is required

- Medical Transcriptionist Certificate and equivalent experience is preferred

- Certificate in Clinical Documentation Improvement preferred

- Current Canadian Health Information Management Association certification is preferred

QUALIFICATIONS

- Minimum three years of recent experience in an acute-care environment performing clinical document quality assurance, or related health information management functions

- Proficiency in Electronic Medical Record software, such as Oracle Cerner is preferred

- Experience in Dragon medical Dictation consider as an asset.

- Working knowledge and understanding of transcription and dictation systems

- Experience using eScription platform is considered a strong asset





- Ability to edit and critique transcripts through Quality Assurance required

- Excellent knowledge of Medical Terminology and use of the English language (grammar, spelling, editing)

- Excellent and accurate keyboarding skills (80-100 wpm)

- Experience working in Microsoft Office and Internet Explorer required

- Excelent analytical, attention to detail and problem-solving skills

- Valuable work and attendance record required.

- Good interprofessional skills and communication skills

- Working with confidential personal health information and the ability to understand and apply key

principles of privacy legislation

- Good work and attendance record required.

- All employees of Michael Garron Hospital (MGH), a division of Toronto East Health Network (TEHN) [formerly Toronto EastGeneral Hospital (TEGH)] agree to work within the legislated practices of the Occupational Health and Safety Act of Ontario.

- All employees of MGH are responsible to contribute to a transparent culture of patient and staff safety by adhering to and abiding by patientand staff safety policies and procedures set by MGH.

- All employees are accountable for protecting the psychological health and safety of themselves and their co-workers through adherence to MGH's policies and practices.

📌 Clinical Documentation Specialist (Toronto)
🏢 Michael Garron Hospital
📍 Toronto