Documentation Specialist

Richmond Medical CenterStaten Island, NY
1d$80,000 - $90,000Remote

About The Position

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Day Shift - 7.5 Hours (United States of America) 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.

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
  • 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
  • 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

Responsibilities

  • ensuring that clinical documentation in the medical record is pertinent, timely, accurate, and complete
  • 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
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