New Jersey Licensed Clinical Documentation Specialist

Job Summary

New Jersey Licensed Clinical Documentation Specialist, this full-time position focuses on ensuring the accuracy and completeness of inpatient clinical documentation through concurrent chart reviews and collaboration with healthcare teams.

Key Responsibilities

• Analyzes medical records for accuracy and completeness related to diagnoses, treatments, and procedures
• Facilitates modifications to clinical documentation through collaboration with healthcare providers
• Conducts training sessions for healthcare staff on documentation practices and coding compliance

Required Qualifications

• Minimum of 3 years of experience in inpatient clinical documentation improvement
• Minimum of 5 years of nursing experience in adult acute care settings
• Current state Registered Nursing license required
• Certification as RN, CCDS, and/or CDIP is a minimum requirement
• Coding credential (CCS, CPC, CCS-P) is highly preferred