Clinical Documentation Specialist

Make It Happen at Hopkins | Join our TEAM!

Position Details

• Shift : Full-Time, Day Shift (40 hours/week) - Monday - Friday
• Location : Fully Remote

The Clinical Documentation Specialist (CDS) is responsible for medical record review, collaboration with professional inpatient coding professionals, reconciliations of assigned cases and the accurate reporting of Clinical Documentation Integrity (CDI) program metrics. Additionally, responsible for overall efficiency and effectiveness of the service lines assigned, provider engagement and relationship establishment with physician liaisons. Interacts with CDI educator on quarterly content development and service line education as needed. Additional responsibilities as assigned. This role reports to the Manager.


Education:


Requires successful completion of:

• Baccalaureate degree, or associates degree, or diploma in nursing from an accredited school of Nursing OR
• successful completion of an AMA approved Physician Assistant program, OR
• successful completion of the academic requirements of Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) certification accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM)

Required Licensure and Certification :


All CDS level IIs are required to maintain certification as a Certified Clinical Documentation Specialist (CCDS via ACDIS) or Certified Documentation Integrity Practitioner (CDIP via AHIMA).


RN/APRN: Must possess a current RN compact (multistate) license in the state in which you reside. If your state or the Johns Hopkins Health System location in which you are assigned does not participate in the Nurse Licensure Compact, an RN license for the state in which you are assigned will be required.


PA: Must possess current licensure to practice as a Physician Assistant (PA) in the state in which you reside and be board-certified by the National Commission on Certification of Physician Assistants (NCCPA). If your state or the Johns Hopkins Health System location in which you are assigned does not participate in the PA Licensure Compact, a PA license for the state in which you are assigned will be required.


RHIT/RHIA: Requires successful completion of the academic requirements for Registered Health Information Technician (RHIT)certification or Registered Health Information Administrator (RHIA) certification accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) and be a Certified Coding Specialist (CCS).


Work Experience:


RN: Requires a minimum of 3 years Registered Nurse clinical experience in similarly complex acute care setting. Minimum of 2 years as a Clinical Documentation Specialist required. In lieu of complex acute care experience, a minimum of 3 years of CDI experience, and /or other relevant clinical experience may be considered.


PA: Requires at least 3 years Physician Assistant experience in a similarly complex acute care setting. Minimum of 2 years as a Clinical Documentation Specialist required. In lieu of complex acute care experience, a minimum of 3 years of CDI experience, and /or other relevant clinical experience may be considered


RHIT/RHIA: Requires minimum of 3 years with acute inpatient coding experience. Minimum of 2 years as a Clinical Documentation Specialist required. In lieu of acute inpatient coding experience, a minimum of 4 years of CDI experience, and /or relevant clinical experience may be considered.



We're proud to offer a robust benefits package that supports your health, growth, and well-being. Discover our full offerings and costs here: mybenefitsjhhs.com

What Awaits You:

• Competitive pay and benefits that support you at every stage of your life and career.

• Retirement plans with employer contributions to help you plan confidently for the future.

• Generous time off so you can unplug, recharge, and enjoy life outside of work.

• Access to world-class facilities and innovative technology that fuel your curiosity.

• Endless opportunities to advance your career as part of the Johns Hopkins team.
  Salary Range: Minimum 42.33/hour - Maximum 69.88/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
  
  
  The Hospital reserves the right to modify employee schedules as needed.
  
  
  We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
  
  
  Johns Hopkins Health System and its affiliates are drug-free workplace employers.
  Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.