Clinical Documentation Specialist Job at Atlantic Health System
Overview:
Flexible with hours Responsibilities:
Atlantic Health System is seeking a part-time Clinical Documentation Specialist at Morristown Medical Center.
Flexible with hours
Essential Functions:
- The Clinical Documentation Specialist will facilitate modifications to clinical documentation, through concurrent interactions with Physicians and other clinicians to reflect appropriate clinical severity, complications and co-morbidity.
- The specialist shall concurrently review and evaluate selected patient's medical records for overall quality and completness.
- Will educate physicians, non-physician clinicians, coding professionals on an ongoing basis regarding documentation opportunities, coding and reimbursement issues and relevant quality and performace improvement opportunities.
- Case Aduits Initial. Concurrent and Final.
- Participate in Subcommittees for various Disciplines.
Qualifications/Requirments:
- Advanced understanding of anatomy, physilogy, pathophysiology and pharmacology
- Knowledge of word processing, Excel and reporting software
- Demonstrates excellent interpersonal relationship skills
- Knowledge of CMS regulations along with DRG groupings
- Coding skills with experience in ICD-10-CM/PCS and working knowledge of the AHA Coding Clinic (some training provided)
- Preferred experience in EPIC, 3M and/or Iodine
Minimum Education:
- High School Diploma or equivlanet required
- Gradute of an accredited Nursing Program required
Education:
- BSN preferred
License/Certifications:
- Licensed NJ Registered Nurse required
- CCDS or CDIP preferred
Relevant Experience:
- 3+ years of experience in the acute-care setting in: surgical, intensive care, emergency medicine strongly preferred
- Experience working with encoder software, clinical documentation improvement software and electronic medical record preferred
- Prior CDI experience is a plus
Atlantic Health System aims to deliver the highest quality, safety and care combined the best experience for our patients and their families. We are confident that you will find success within Atlantic Health System, which has been named for the 14th year in a row to Fortune’s “Top 100 Best U.S. Companies to Work For” list. We believe you will find that our culture of collaboration and care exemplifies the value we place on our patients, their families and our employees.
EEO Statement:
Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.
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