Clin Documentation Spec III - Remote

Cooper Norcross University Hospital • Camden, NJ

4d • $41 - $70 • Remote

About The Position

Responsible for ensuring the overall quality and completeness of medical record documentation for all payor groups and DRGs, including MS, AP, and APR. The position facilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregivers, and Health Information coding staff to support appropriate reimbursement and capture clinical severity for the level of service rendered to inpatients. It supports timely, accurate, and complete documentation of clinical information used to measure and report physician and hospital outcomes, and provides ongoing education to members of the patient care team as needed.

This is a remote position. The employee must provide high-speed internet access and a phone line. Depending on shortages, the employee may also need to provide additional monitors, with a minimum of two monitors required. No travel is required. The role involves regular electronic contact with personnel throughout and outside the hospital, by telephone or email. It requires the ability to sit for extended periods and use a computer screen, keyboard, copy and facsimile machines, reader/printer, and other office equipment.

Requirements

• Registered Nurse licensed in any state.
• Hold a CDI certification (CCDS or CDIP) and a coding certification (CCS or CRC; CIC is an acceptable equivalent). Candidates missing one or both required certifications at hire may be considered, but must obtain any missing certification within one year of the start date as a condition of continued employment.
• Demonstrate excellent critical thinking skills and the ability to assess, evaluate, and teach.
• Be self-governed, disciplined, and organized, with an excellent work ethic, analytical thinking, and problem-solving skills.
• Have excellent computer skills and excellent verbal and written communication skills, including knowledge of email etiquette.
• Be proficient in Word, Excel, PowerPoint, and typing at 60 WPM.
• Be able to sit for extended periods and use a computer screen, keyboard, copy and facsimile machines, reader/printer, and other office equipment.
• Provide high-speed internet access and a phone line for remote work; may need to provide additional monitors, with a minimum of two monitors required depending on shortages.
• Be flexible and have a working knowledge of all areas of adult medicine.
• Be able to work as a professional team player and communicate well with others at all levels.

Nice To Haves

• BSN or higher preferred.

Responsibilities

• Ensure the overall quality and completeness of medical record documentation for all payor groups and DRGs, including MS, AP, and APR.
• Facilitate clinical documentation modifications through concurrent interaction with physicians, nursing staff, other patient caregivers, and Health Information coding staff.
• Support appropriate reimbursement and capture of clinical severity for the level of service rendered to inpatients.
• Support timely, accurate, and complete documentation of clinical information used to measure and report physician and hospital outcomes.
• Educate members of the patient care team on an ongoing basis, as needed.
• Communicate regularly with personnel throughout and outside the hospital by telephone or email.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed