New York Licensed Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Specialist.

Key Responsibilities

• Reviews medical records for completeness and accuracy regarding severity of illness, risk of mortality, and complexity of care
• Requests documentation clarifications and communicates effectively with physicians
• Provides education on the CDS process to the patient care team and manages multiple priorities

Required Qualifications and Education

• 3-5 years of adult acute care experience in med/surg., critical care, emergency room, or PACU
• Registered nursing degree required; BSN preferred, or other clinical education such as PA, NP, or MD
• Previous CDS experience preferred
• Must obtain CCDS certification within 30 months of hire if hired after January 1, 2017
• Valid RN or LPN license, or other applicable professional license, or RHIT, or RHIA for skilled nursing facility roles