CLINICAL DOCUMENTATION SPEC III PRN - REMOTE

COOPER PEDIATRICS

Camden, Northern (NJ, KY)

Hybrid

USD 85,000 - 125,000

Full time

5 days ago
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Job summary

Cooper Norcross Health is seeking a Clinical Documentation Specialist to ensure quality and completeness of medical records across all payor groups. The role requires collaboration with physicians, nursing staff, and coding teams to support accurate reimbursement and clinical severity representation.

Ideal candidates have 5+ years in clinical documentation within acute care, proficiency with EPIC EHR, and strong communication and teaching skills. This is a remote position with no travel required.

Qualifications

  • International Medical Graduate (IMG) preferred.
  • Bachelor's degree or equivalent medical education required.
  • CDI experience in an acute setting preferred, Level 1 Trauma Center experience is a plus.

Responsibilities

  • Ensure overall quality and completeness of medical records.
  • Document for all payor groups and DRGs.
  • Influence clinical documentation through collaboration with physicians and care teams.
  • Support timely, accurate documentation used for outcomes measurement.
  • Educate care team on documentation standards and processes.

Skills

Communication skills
Critical thinking
Teaching/education

Education

IMG preferred
Bachelor's degree or equivalent medical education

Tools

EPIC EHR
CDE ONE
Solventum

Job description

About us

Cooper Norcross Health, formerly Cooper University Health Care, is a leading academic health system affiliated with Cooper Norcross Medical School of Rowan University. Headquartered in Camden, New Jersey, Cooper Norcross Health has revenues of more than $3 billion and an A+ credit rating from both S & P and Fitch Ratings.

Cooper Norcross Health has nearly 14,000 team members, including more than 2,200 nurses, more than 1,200 employed physicians representing 95 specialties and subspecialties, and more than 700 advanced practice providers.

Cooper Norcross Health operates MD Anderson Cancer Center at Cooper as well as four hospitals – its 663-bed flagship Cooper Norcross University Hospital in Camden, its 229-bed Cooper Norcross University Hospital Cape Regional in Cape May Court House, Children’s Hospital at Cooper Norcross Health in Camden, and The Recovery Village Cherry Hill at Cooper, a substance abuse rehabilitation and inpatient treatment facility, in partnership with American Recovery Services.

Cooper Norcross University Hospital in Camden is the only Level 1 Trauma Center in South Jersey and the busiest in the region. The hospital has been recognized as a top-performing regional hospital by U.S. News & World Report’s Best Hospitals annual survey for eight years.

More than 2.54 million patients visit Cooper Norcross Health facilities annually. Its ambulatory network encompasses three outpatient surgery centers, seven urgent care centers, a wound care center, and more than 130 physician, physical therapy, and radiology offices extending from the Delaware River to the New Jersey shore.

Cooper Norcross Health, a not-for-profit health system, was named one of America’s Best Large Employers for 2026 by Forbes, ranking among the top 200 in the nation. Visit CooperHealth.org to learn more.

Short Description

This is a remote position. You must self provide high speed internet access and a phone line. Depending on shortages, you may be required to self-provide additional monitors (you will need to work on a minimum of 2 monitors). This job does not require any travel.

  • Responsible for ensuring the overall quality and completeness of medical record
  • Documentation for all payor groups, all DRG’s, including MS, AP, and APR.
  • Facilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregivers and Health Information coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients.
  • Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes
  • Educates all members of the patient care team on an ongoing basis, as needed.
  • Professional team player, able to communicate well with others on all levels.
  • Regular electronic contacts with other personnel throughout and outside the hospital
  • Contacts may be in by telephone or through e-mail correspondence.
  • Flexible with a working knowledge of all areas of adult pediatric and obstetric medicine
  • Ability to sit for very long periods of time, manual dexterity and mobility for extensive use of computer screen, keyboard, copy and facsimile machines, reader/printer and other officeequipment.
  • Adequate to perform essential functions of the job with the type of judgments and potential consequences outlined above.
Experience Required
  • EPIC EHR
  • CDE ONE, Solventum
  • 5 years minimum experience as Clinical Documentation Specialist in an acute setting, preferably Level 1 Trauma Center.
  • CDI Subject matter expert for ALL PAYORS, all DRG groups (MS-DRG, APR-DRG, AP-DRG Elixhauser, risk variables)

PSI/HAC/HCC (Risk adjustment coding) knowledge/experience and Vizient Calculator

Education Requirements

International Medical Graduate (IMG) from an accredited medical school preferred. bachelor's degree or equivalent medical education required.

License/Certification Requirements
  • CCDS or CDIP required.
  • Coding certification: CCS, CRC, or CIC required.
Special Requirements

Essential mental abilities: excellent critical thinking skills, able to assess, evaluate and teach. Must be self governed, disciplined, and organized.

Requires excellent work ethics, analytical thinking, problem solving, excellent computer skills, excellent verbal and written communication with knowledge of email etiquette. Must be proficient in Word, Excel, PowerPoint and typing (60 WPM)

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