Clin Documentation Spec III PRN

Cooper University Hospital • Camden, NJ

1d • $41 - $70 • Onsite

About The Position

Responsible for ensuring the overall quality and completeness of medical record documentation. 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. Professional team player, able to communicate well with others on all levels. Regular significant contacts with other personnel throughout and outside the hospital. Contacts may be in person, by telephone or-through correspondence. Flexible with a working knowledge of all areas of adult medicine.

Requirements

• Knowledge of medical record documentation requirements coding guidelines.
• Computer knowledge of Epic a plus.
• Good critical thinking skills, able to assess, evaluate and teach.
• Excellent observation skills, analytical thinking, problem solving, computer skills, good verbal and written communication.

Nice To Haves

• RN preferred or CCS, CPC or RHIT preferred.
• NJ-RN License (Registered Nurse) preferred CCS, CPE or RHIT preferred.

Responsibilities

• Ensuring the overall quality and completeness of medical record documentation.
• Facilitating 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.
• Supporting timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes.
• Educating all members of the patient care team on an ongoing basis.

Benefits

• health
• dental
• vision
• life
• disability
• retirement

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: No Education Listed