Documentation Specialist

Richmond University Medical Center • New York, NY

1d • $80,000 - $90,000 • Remote

About The Position

The Documentation Specialist will be responsible for ensuring that clinical documentation in the medical record is pertinent, timely, accurate, and complete. She/he will concurrently interact with Physicians and HIM coders to ensure that documentation captures clinical severity to support the level of service, core measures, and accurate reimbursement. This is a remote position, work schedule aligning with facility hours of operation eastern standard time

Requirements

• A Bachelor of Science degree in Nursing or International Medical Graduate preferred or Associate degree in nursing is acceptable
• Must possess Minimum 3 years of acute care hospital experience
• Strong interpersonal skills, ability to interact professionally with others, verbally and in writing
• Ability to meet daily productivity expectations and identify query opportunities impacting the case mix index

Nice To Haves

• AHIMA CCA or CCS certification preferred
• ACDIS CCDS or AHIMA CDIP certification preferred
• Minimum 1 years of Inpatient Coding experience with ICD-10 CM/PCS preferred
• CDI experience preferred
• Computer skills, Microsoft 365, Teams, Excel, Word, Nuance, 3M 360, and Meditech preferred

Responsibilities

• Ensuring that clinical documentation in the medical record is pertinent, timely, accurate, and complete.
• Interacting with Physicians and HIM coders to ensure that documentation captures clinical severity to support the level of service, core measures, and accurate reimbursement.

What This Job Offers

• Job Type: Full-time