Clinical Documentation Specialist

Montefiore St. Luke's Cornwall; City of Newburgh (NY); On-site; USD 90,000 - 105,000; Full time

Job summary

Montefiore St. Luke's Cornwall is seeking a Clinical Documentation Integrity Specialist (CDIS) to improve the quality and completeness of clinical documentation. You will work with physicians and clinicians to ensure documentation reflects the level of service provided.

Required: Bachelor’s Degree in Nursing, valid RN license, 3+ years acute care nursing and 2+ years CDIS in acute care. Epic and 3M 360 experience preferred; proficient in MS Office/MS Teams; ability to troubleshoot remote

Qualifications

• Bachelor's degree in Nursing required; RN license required.
• Minimum 3 years acute care nursing experience; 2+ years CDIS in acute care hospital.
• Epic and 3M 360 experience preferred; MS Office and MS Teams proficiency.

Responsibilities

• Improve the quality and completeness of clinical documentation.
• Interact concurrently with physicians and clinicians to reflect appropriate level of service.
• Collaborate to ensure documentation accurately represents patient care provided.

Skills

Clinical documentation

RN experience

English communication

Education

Bachelor's Degree in Nursing

Tools

Epic

3M 360

MS Office

MS Teams

Job description

## Clinical Documentation SpecialistApplylocations: 70 Dubois Streettime type: Full timeposted on: Posted 2 Days Agojob requisition id: JR231406**City/State:**Newburgh, New York**Department:**Health Information Management & Clin Doc**Work Shift:**Day**Work Days:**MON-FRI**Scheduled Hours:**8 AM-4 PM**Scheduled Daily Hours:**7.5 HOURS**Pay Rate/Range:**$90,000 - $105,000**Sign-On Bonus:**N/A**This is a remote position!!!!****Position Summary:** The Clinical Documentation Integrity Specialist (CDIS) is responsible for improving the overall quality and completeness of clinical documentation. CDIS facilitates modifications to clinical documentation through concurrent interaction with physicians and other clinicians to ensure that documentation reflects complete and accurate level of service rendered to patients.**Education/Training:** Bachelor’s Degree in Nursing required. Ability to read, write, and communicate in English.**Experience:** A minimum of 3 years acute care nursing experience required. ICU experience preferred. Minimum 2 years CDIS in acute care hospital. Epic and 3M 360 Experience preferred. Proficient in MS Office and MS Teams. Must be able to troubleshoot remote computer connectivity issues.**Licensure, Registration or Certification:** Registered Nurse required. CDIS certification through ACDIS or AHIMA required.Montefiore St. Luke's Cornwall is an equal employment opportunity employer. Montefiore St. Luke's Cornwall will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.