[Hiring] Clinical Documentation Specialist III @Cooper Norcross University Hospital

Role Description

Responsible for ensuring the overall quality and completeness of medical record documentation for all payor groups, all DRG’s, including MS, AP, and APR.

• Facilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregivers, and Health Information coding staff.
• Supports timely, accurate, and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes.
• Educates all members of the patient care team on an ongoing basis, as needed.
• Professional team player, able to communicate well with others on all levels.
• Regular electronic contacts with other personnel throughout and outside the hospital, via telephone or email correspondence.
• Flexible with a working knowledge of all areas of adult medicine.
• Ability to sit for very long periods of time, with manual dexterity and mobility for extensive use of computer screen, keyboard, copy and facsimile machines, reader/printer, and other office equipment.
• Adequate to perform essential functions of the job with the type of judgments and potential consequences outlined above.

Qualifications

• CCDS or CDIP
• Registered Nurse, any state. BSN or higher preferred if applicable
• Coding certification: CCS or CRC; CIC is an acceptable equivalent

Requirements

• Both a CDI certification (CCDS or CDIP) and a coding certification (CCS or CRC; CIC is an acceptable equivalent) are required.
• Any missing required certification(s) must be obtained within one (1) year of the employee’s start date as a condition of continued employment.

Special Requirements

• This is a remote position. You must self-provide high-speed internet access and a phone line.
• Depending on shortages, you may be required to self-provide additional monitors (you will need to work on a minimum of 2 monitors).
• This job does not require any travel.
• Essential mental abilities: excellent critical thinking skills, able to assess, evaluate and teach.
• Must be self-governed, disciplined, and organized.
• Requires excellent work ethic, analytical thinking, problem solving, excellent computer skills, and excellent verbal and written communication with knowledge of email etiquette.
• Must be proficient in Word, Excel, PowerPoint, and typing (60 WPM).

Salary

• Salary Min: USD $41.00
• Salary Max: USD $70.00