Clin Doc Spec - P/T (20/hrs week)

About the role

Utilizes clinical expertise to assess clinical documentation concurrently and retrospectively; contributes to improvement of the overall completeness and quality of the documentation/medical record; collaborates extensively with physicians and other health care providers.

Responsibilities

• Contributes to improvement of the overall completeness and quality of the documentation/medical record
• Collaborates extensively with physicians and other health care providers
• Provides ongoing education to all healthcare providers regarding the importance of accurate documentation
• Collaborates with the HIM and the Quality Management departments
• Exhibits extensive knowledge of clinical documentation requirements and DRG assignment
• Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes

Requirements

• Advanced clinical experience with extensive knowledge of complex disease processes and broad clinical practice experience in the inpatient and outpatient settings
• CDI experience preferred
• At least 5 years adult acute care practice experience
• Demonstrated effective, collegial communication with physicians, other providers, staff and leadership

Qualifications

• Bachelor’s degree in Nursing or health related degree is required
• MD, DO, MBBS or foreign educated medical graduate with advanced clinical practice experience
• Valid CDI Certification such as CDIP or CCDS preferred
• Valid Coding certification such as CCA or CCS preferred
• Current NYS RN license required for nurses
• If foreign educated medical graduate, ECFMG certificate preferred

Skills, Knowledge & Abilities

• Excellent interpersonal and analytical skills
• Able to provide oral presentations both in person and virtually
• Motivated, organized with excellent verbal, written communication skills, and conversant with adult professional learners
• Utilizes critical thinking skills
• Data analysis and data interpretation
• Knowledge of ICD-10 codes and coding guidelines
• Prioritizes workflow and manages various initiatives
• Quality improvement knowledge/skills with regard to workflow and productivity processes
• Effective facilitation skills
• Good listening skills
• Strong interpersonal communication skills

Benefits

N/A

Pay

$77,075.00 - $119,466.00

Schedule

Day