New York Licensed Clinical Document Specialist

Job Summary

Facilitating clinical documentation improvement, the full-time New York Licensed Clinical Document Specialist will engage with healthcare teams to enhance documentation accuracy, support inpatient admissions, and ensure compliance with regulations while working remotely.

Key responsibilities:

• Facilitates modifications in clinical documentation to ensure accuracy of medical conditions for inpatient encounters
• Communicates with physicians and medical teams to provide guidance on documentation standards and reimbursement opportunities
• Presents findings to stakeholders and educates peers on documentation improvement and performance metrics

Required qualifications:

• Bachelor's degree in Nursing (BSN) or relevant clinical discipline with 5 years of inpatient clinical experience
• Current New York State Registered Nurse, Nurse Practitioner, Physician Assistant, or Medical Doctor license required
• Clinical Documentation Specialist (CDS) or Clinical Documentation Improvement Professional (CDIP) certification preferred
• Knowledge of complex disease processes and prior experience with EPARC and eRecord preferred
• Equivalent combination of education and experience may be considered