Clinical Document Specialist III

Jobot; Town of Florida (NY); Remote; USD 110,000 - 130,000; Full time

Benefits offered by this job

Excellent Medical, Dental, Vision

Growth Opportunity

Hybrid work environment

Relocation Assistance

Job summary

A leading healthcare organization in New York is looking for a Clinical Document Specialist III to join their team. This remote role involves leading the Clinical Documentation Improvement Team to enhance the accuracy and quality of clinical documentation. Candidates should have a bachelor's degree, extensive nursing experience, and leadership skills. The position offers competitive salary ranges from $110,000 to $130,000 annually and includes excellent benefits such as medical and relocation assistance.

Qualifications

• Minimum of 5 years acute care nursing experience in relevant medical settings.
• At least 2 years of experience as a Clinical Documentation Specialist.
• Strong understanding of CMS and CCDS guidelines.

Responsibilities

• Lead the Clinical Documentation Improvement (CDI) team.
• Develop and implement strategies for clinical documentation enhancement.
• Provide training and guidance on documentation standards.

Skills

Leadership

Clinical Documentation Standards

Communication Skills

Healthcare Information Systems

Education

Bachelor's degree or higher

Certification in Clinical Documentation Improvement (CCDI)

Job description

Overview

Clinical Document Specialist III - Remote. This Jobot job is hosted by Daylen Quichocho. Salary: $110,000 - $130,000 per year.

We are a large, full-service hospital organization providing a wide range of medical services including emergency care, heart and cancer treatment, maternity with a Level II NICU, and advanced surgical procedures like robot-assisted surgery.

Why join us?

• Excellent Medical, Dental, Vision
• Growth Opportunity
• Established Healthcare Organization
• Hybrid work environment
• Relocation Assistance

Job Details

We are seeking an enthusiastic and experienced Clinical Document Specialist III to join our healthcare team. This role is critical in leading the Clinical Documentation Improvement (CDI) team to ensure the accuracy, integrity, and quality of patient records. The successful candidate will have a strong understanding of various medical departments, including emergency, surgical, intensive care, and post-acute care units, with a proven track record in healthcare quality management, specifically CMS and CCDS.

Responsibilities

1. Lead the Clinical Documentation Improvement (CDI) team to ensure high-quality documentation of clinical care.
2. Develop and implement strategies to enhance the accuracy, completeness, and consistency of clinical documentation.
3. Provide guidance and training to the CDI team on clinical documentation standards and best practices.
4. Collaborate with medical, surgical, intensive care, and post-acute care units to ensure alignment of documentation practices.
5. Conduct regular audits of clinical documentation and provide feedback to the CDI team and healthcare providers.
6. Monitor and report on CDI quality metrics, identifying areas for improvement and implementing corrective actions.
7. Stay updated on CMS and CCDS guidelines and ensure compliance within the organization.
8. Foster a culture of continuous improvement, encouraging innovation and efficiency within the CDI team.

Qualifications

1. A bachelor's or higher educational degree. An advanced degree will be an added advantage.
2. Minimum of 5 years acute care nursing experience with specific medical/surgical, ICU, post-acute care unit, or Emergency Department experience.
3. A minimum of 2 years of experience as a Clinical Documentation Specialist.
4. RN, NP, or PA licensure.
5. Demonstrated experience in leading a CDI team in a healthcare setting.
6. Extensive knowledge of CMS and CCDS guidelines.
7. Strong leadership and team management skills, with the ability to motivate and guide a team towards high-quality outcomes.
8. Excellent communication and interpersonal skills, with the ability to collaborate effectively with healthcare providers and administrators.
9. Proficiency in using healthcare information systems and software.
10. Certification in Clinical Documentation Improvement (CCDI) or equivalent is desirable.

This is an exciting opportunity for a dedicated healthcare professional to lead a team in enhancing the quality of clinical documentation. If you have the required skills and experience and are passionate about improving healthcare quality, we would love to hear from you.

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