Clinical Document Specialist

Job Title Clinical Document Specialist Overview The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Details Req #: 0000242997 Category: Nurses Status: Full-Time Shift: Day Facility: RWJBarnabas Health Corporate Services Department: Clinical Documentation Mgmt Location: 94 Old Short Hillls Road, Livingston, NJ 07039 Location – Additional: Cooperman Barnabas Medical Ctr Job Title (Summary): Clinical Document Specialist Pay Range: $91,472.00 - $129,204.00 per year Essential Job Functions Concurrently review and evaluate selected patient’s medical records for overall quality and completeness Assist in clarifying documentation regarding the patient’s diagnoses and/or procedures, co-morbid conditions, complications, and other reportable data elements including quality measures and SOI/ROM (severity of illness and risk of mortality) Clarifications will be completed by utilizing computer software to generate the clarification Collaborate with physicians, non-physician clinicians, coding professionals on an ongoing basis regarding documentation opportunities, coding and reimbursement issues and relevant quality and performance improvement opportunities Qualifications Graduate from an accredited school of nursing with a BSN degree Minimum 5 years acute hospital experience as a clinical nurse Must read, write and speak English Passing grade on Clinical Competency Exam Advanced understanding of anatomy, physiology, pathophysiology, and pharmacology Excellent interpersonal, oral and written communication and organizational skills Must maintain a professional demeanor Must display a proven analytical capability Able to work independently with minimal supervision Able to quickly learn new concepts and software Preferred CCDS certification (preferred) Prior experience in clinical documentation review Understanding of ICD-10-CM coding requirements Experience in a supervisory role Adult acute care experience in med/surg, critical care, emergency, or PACU Other Details Working Hours: Hybrid - four days onsite, one day remote. Subject to change based on business needs. Physical Working Location: Cooperman Barnabas Medical Center in Livingston, NJ Benefits and Total Rewards At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees\' physical, emotional, social, and financial health. PTO Medical and Prescription Drug Insurance Dental and Vision Insurance Retirement Plans Short & Long Term Disability Life & Accidental Death Insurance Tuition Reimbursement Health Care/Dependent Care Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more Equal Opportunity Employer RWJBarnabas Health is an Equal Opportunity Employer

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