What are the responsibilities and job description for the Clinical Documentation Specialist position at RWJBarnabas Health Corporate Services?
About RWJBarnabas Health Corporate Services
At RWJBarnabas Health Corporate Services, we are committed to delivering high-quality patient care, education, and research in a compassionate and equitable manner. Our goal is to make a unique impact in local communities throughout New Jersey by enhancing the health of residents and creating educational and career opportunities.
Job Summary
We are seeking a Clinical Documentation Specialist to join our team. The successful candidate will be responsible for reviewing patient medical records to ensure accurate and up-to-date documentation. This role requires strong analytical skills, attention to detail, and the ability to work independently with minimal supervision.
Key Responsibilities
- Review patient medical records for overall quality and completeness
- Clarify documentation regarding diagnoses and/or procedures, co-morbid conditions, complications, and other reportable data elements
- Collaborate with physicians, non-physician clinicians, and coding professionals on an ongoing basis regarding documentation opportunities, coding, and reimbursement issues
- Utilize computer software to generate clarifications and improve documentation
Requirements
- Bachelor's degree in Nursing from an accredited school
- Experience in adult acute care, preferably in med/surg, critical care, emergency, or PACU settings
- Strong understanding of ICD-10-CM coding requirements
- Ability to read, write, and speak English fluently
- Excellent analytical and communication skills
Benefits
- Market-competitive salary
- Comprehensive benefits package, including medical, prescription drug, dental, and vision insurance
- Retirement plans, short-term, and long-term disability insurance
- Tuition reimbursement
- Health Care/Dependent Care Flexible Spending Accounts
