5 Clinical Documentation Specialist Jobs in Hackensack, NJ
HACKENSACK UNIVERSITY MED CNTR is Hiring a Clinical Documentation Specialist Near Hackensack, NJ
Our team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Clinical Documentation Specialist facilitates improvement in the overall quality, completeness and accuracy of medical record documentation for assigned hospital/s of Hackensack Meridian Health (HMH). Obtains and promotes appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, Health Information Management Department coding staff, and Emergency Trauma Department (ETD), to ensure clinical documentation reflects the level of service rendered to patients is complete and accurate. Educates all members of the patient care team on documentation guidelines, on an on-going basis. Reviews and screens ED inpatient admissions and observations as specified by the facility's Utilization Management/Review Committee for documentation completeness and compliance with patient status. Facilitates accurate documentation for severity of illness and medical necessity. Interacts with physicians, case managers, and nursing staff and provides guidance and recommendations for admission or observation disposition. Assesses patients for present-on-admission (POA) conditions to ensure accurate documentation, regarding hospital acquired conditions (HAC). Communicates the transfer of appropriate concurrent information to the inpatient Case Managers and the Clinical Documentation Specialists (CDS), assigned to the unit.
This position is located at Palisades Medical Center in North Bergen, NJ.
Qualifications:
Education, Knowledge, Skills and Abilities Required:
- Graduation from medical school.
- Minimum of 5 or more years of experience reviewing and screening inpatient admissions and observations or equivalent experience.
- Experience assessing patients and improving the quality and ensuring compliance of medical records documentation or equivalent experience.
- Ability to interact well with physicians and other members of allied health care team, including HIM coders.
- Must be computer literate, have working knowledge and familiarity of Google and/or Microsoft based software programs/applications.
- Must possess excellent communication, organizational, analytical, writing and interpersonal skills.
- Dependable, self-directed and pleasant.
- Critical thinking, problem solving and deductive reasoning skills.
- Recent hospital experience.
- Knowledge of Pathophysiology and Disease Process.
- Knowledge of Medicare Part A.
- Familiar with Medicare Part B.
- Knowledge of the regulatory environment.
- Understand and support CDMP® documentation strategies.
- Knowledge of POA/HAC and core measures.
- Knowledge of Observation and Inpatient medical necessity.
- Knowledge of regulatory requirements for appropriateness of admissions.
Education, Knowledge, Skills and Abilities Preferred:
- ICU, CCU and/or strong Medical/Surgical experience.
Licenses and Certifications Required:
- Certified Clinical Documentation Specialist (CCDS) or certification within two (2) years of eligibility.
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
Job Summary
Full Time
$61k-79k (estimate)
04/12/2024
08/18/2024
The job skills required for Clinical Documentation Specialist include Health Information Management, Clinical Documentation, Patient Care, Collaboration, etc. Having related job skills and expertise will give you an advantage when applying to be a Clinical Documentation Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Clinical Documentation Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Clinical Documentation Specialist positions, which can be used as a reference in future career path planning. As a Clinical Documentation Specialist, it can be promoted into senior positions as a Tumor Registrar that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Clinical Documentation Specialist. You can explore the career advancement for a Clinical Documentation Specialist below and select your interested title to get hiring information.
If you are interested in becoming a Clinical Documentation Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Clinical Documentation Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Clinical Documentation Specialist job description and responsibilities
Finally, a good clinical documentation specialist must be able to maintain patient confidentiality.
02/19/2022: Sioux City, IA
Clinical Documentation Specialist analyzing medical information to assist healthcare providers.
02/18/2022: Nashua, NH
A clinical documentation specialist, also called a medical coder or billing specialist, oversees all types of health care documents.
02/05/2022: Waco, TX
At the same time, clinical documentation excellence programs should advance the quality, accuracy, and completeness of clinical documentation.
04/02/2022: Atlantic City, NJ
Clinical Documentation Specialist that are structured to be effective and efficient can provide the solutions needed to achieve accurate clinical documentation that contributes to precise health care data that’s required for value-based payment methodolo
02/20/2022: Carson City, NV
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Clinical Documentation Specialist jobs
Ensuring that there us proper documentation where needed
04/10/2022: Asheville, NC
Always strive for point-of-service documentation.
02/21/2022: Altoona, PA
Clinical documentation specialists gather and process these documents.
03/07/2022: Ventura, CA
Documentation specialists work with hospitals and alongside healthcare providers.
01/22/2022: Burlington, VT
Set up documentation shortcuts.
03/16/2022: Clarksville, TN
Step 3: View the best colleges and universities for Clinical Documentation Specialist.
