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 and compliance while maximizing revenue in a remote setting.

Key responsibilities

• Facilitates modifications in clinical documentation to ensure accurate representation of medical conditions for inpatient encounters
• Provides oversight and guidance to physicians and medical teams 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 a relevant clinical discipline with 5 years of inpatient clinical experience
• Current New York State Registered Nurse, Nurse Practitioner, Physician Assistant, or Medical Doctor license upon hire
• Knowledge of complex disease processes and clinical practice guidelines
• Preferred experience with EPARC, eRecord, HDM, and SharePoint
• Clinical Documentation Specialist (CDS) or Clinical Documentation Improvement Professional (CDIP) certification preferred upon hire