Rn Clinical Documentation Specialist - St Peters Hospital

Trinityrailwayexpress

Albany, NY, USA
Base: $31.50 - $47.97 ph; bonus/equity: not specif...
Onsite
Clinical documentation review and education
Interaction with physicians and healthcare team
Use of 3m/360 software for cdi data entry
The Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator and consultant

Job Summary

  • The Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator and consultant.
  • The position offers a strong orientation program, generous tuition allowance and career development opportunities at a recognized Magnet Hospital in the Capital Region.
  • The role involves facilitating quality, completeness, accuracy and integrity of medical record documentation and educating providers and healthcare team members.

Matching Summary

The Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator and consultant.

Salary

Base: $31.50 - $47.97 per hour; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Clinical documentation review and education
  • Interaction with physicians and healthcare team
  • Use of 3M/360 software for CDI data entry
  • Concurrent patient health record reviews
  • Accurate clinical coding and diagnosis assignment

Nice-to-have

  • Strong critical thinking and problem-solving
  • Effective presentation and facilitation skills
  • Collaboration and relationship-building skills
  • Ability to work independently and collaboratively
  • Comfortable with computer navigation and software

Key Requirements

  • Associate/Diploma Degree in Nursing or Health Information Technology
  • Current Registered Nurse License or RHIA, RHIT, CCS, PA, NP/APN or medical school completion
  • Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred
  • Two years experience in Critical Care, Medical or Surgical Inpatient Care Nursing or inpatient coding preferred
  • Excellent communication and organizational skills

Work Rights

Not specified

Tailored Resume

Cover Letter