Clinical Documentation Specialist

Clinical Documentation Specialist (CDS Nurse)
Are you an RN with at least 5 years of recent inpatient clinical experience? Are you looking to take your career in a new direction? The Clinical Documentation Specialist Nurse position may be just what you are looking for! Join the Thompson Team!

Schedule: Monday through Friday

This position is remote with potential for occasional onsite meeting requirements. Hospital orientation is required in person.

Must be a NY state resident.

Benefits

• Health, dental, vision insurance
• Tuition reimbursement up to $6000/year
• Contribution and match on Retirement Plan
• Five weeks paid time off
• Access to Success coaches
• Free parking

Job Responsibilities

• Performs extensive medical record review through the use of CDI software integrated with EMR
• Facilitates documentation improvement by participating in committee meetings
• Assist in coordination of clinical documentation improvement consistent with corporate compliance guidelines and appropriate financial reimbursement
• Provide education to providers, nurses and other CDI staff

Required Job Specific Competencies

• Working knowledge of federal and state regulations
• Ensures the integrity of the clinical documentation support medical necessity, diagnosis related groups (DRG) and quality of care
• Ability to work independently, prioritize and practice capable and effective problem identification and resolution
• Ability to develop and maintain collaborative working relationships with diverse disciplines

Qualifications/Experience

• Licensed RN or equivalent or higher education in health related field
• Minimum 5 years inpatient clinical experience in acute hospital setting, critical care experience preferred
• Extensive knowledge of complex disease processes
• Clinical Documentation Improvement experience preferred
• Clinical Documentation Specialist (CDS) or Clinical Documentation Improvement Practitioner (CDIP within three years of starting the role
• Epic experience preferred
• Proficiency with computers, spreadsheets and Microsoft office

Education

• BS in Nursing preferred (or obtained within 5 years of hire) OR college graduate in other health related field

Company Culture

Thompson Health has a culture of empowerment. At Thompson, interdisciplinary teams come together to improve care, your suggestions are welcomed and your ideas are part of the solution. Three of our executives have an RN background so we understand the importance of the patient experience! Place yourself in an environment where your growth is supported, your contributions valued and your successes celebrated.

Position Pay Range: $35.00-45.00/hour

Starting Pay: Based on experience

Thompson Health is an EOE encouraging individuals with disabilities and veterans to apply

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.