CLIN DOCUMENTATION SPEC III

Full Time
Camden, NJ 08103
Posted
Job description
About us

At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing competitive rates and compensation, a comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.

Discover why Cooper University Health Care is the employer of choice in South Jersey.

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 caregiver 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 communicated 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 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 office
equipment.

Adequate to perform essential functions of the job with the type of judgments and potential
consequences outlined above.

Experience Required

  • EPIC EHR
  • Clintegrity CDE software
  • 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)
  • PSI/HAC/HCC (Risk adjustment coding) knowledge/experience

Education Requirements

Registered Nurse, any state. BSN or higher preferred

Special Requirements

Scheduled Days / Hours: 40; License (or Certification):NJ-RN Required

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