Clin Documentation Spec III, RN & Coding Certification Required
Clin Documentation Spec III, RN & Coding Certification Required
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Job Description
About Us
AtCooper University Health Care our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities equipment technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program including health dental vision life disability and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short Description
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.
Responsible for ensuring the overall quality and completeness of medical record
Documentation for all payor groups all DRGs including MS AP and APR.
Facilitates modifications to clinical documentation through concurrent interaction with
physicians nursing staff other patient caregiver and Health Information coding staff to
support that appropriate reimbursement and clinical severity is captured for the level of
service rendered to all inpatients.
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
Contacts may be in by telephone or through e-mail correspondence.
Flexible with a working knowledge of all areas of adult medicine.
Ability to sit for very long periods of time 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.
Experience Required
- EPIC EHR
- Clintegrity CDE software
- 5 years minimum experience as Clinical Documentation Specialist in an acute setting preferably Level 1 Trauma Center.
- CDI Subject matter expert for ALL PAYORS all DRG groups (MS-DRG APR-DRG AP-DRG)
PSI/HAC/HCC (Risk adjustment coding) knowledge/experience
Education Requirements
Registered Nurse any state. BSN or higher preferred
License/Certification Requirements
- CCDS or CDIP
- Registered Nurse any state. BSN or higher preferred
- Coding certification: CCS or CRC
Special Requirements
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 excellent verbal and written communication with knowledge of email etiquette . Must be proficient in Word Excel PowerPoint and typing (60 WPM)
Salary Min ($)
Salary Max ($)
Employment Type
Full-Time
