New York Licensed Clinical Document Specialist

Job Summary

To enhance clinical documentation accuracy, the full-time New York Licensed Clinical Document Specialist will facilitate improvements through collaboration with healthcare teams, ensuring compliance with documentation standards and maximizing revenue in a remote setting.

Key responsibilities:

• Facilitates clinical documentation improvement through interaction with physicians and healthcare teams, addressing gaps and ensuring accurate medical condition representation
• Oversees EPARC processes and communicates with medical staff to provide guidance on documentation for principal diagnoses and complicating conditions
• Presents findings to stakeholders and educates peers on documentation improvement and reimbursement opportunities

Required qualifications:

• Bachelor's degree in Nursing (BSN) or a relevant clinical discipline with 5 years of inpatient clinical experience
• Current New York State license as a Registered Nurse, Nurse Practitioner, Physician Assistant, or Medical Doctor
• Clinical Documentation Specialist (CDS) or Clinical Documentation Improvement Professional (CDIP) certification preferred
• Prior experience with EPARC, eRecord, HDM, and SharePoint preferred