Clinical Document Specialist (Hiring Immediately)

Job Title : Clinical Document Specialist

Location : Barnabas Health Corp

Department : Clinical Documentation Mgmt

Req# : 0000175148

Status : Full-Time

Shift : Day

Pay Range : $91,472.00 - $129,204.00 Annual

Pay Transparency :

The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidates educational background, skills and professional experience.

Job Overview :

A clinical documentation specialist (CDS) reviews a patients medical records to ensure documentation is accurate as well as up-to-date with the latest information on a patients illness. They also record the details of every step-in clinical treatment. A CDS must have familiarity with the codes involved with medical records, each of which is used to indicate some aspect of the patients medical information, condition and the treatment received. A CDS must have the clinical knowledge to talk with doctors, nurses and other healthcare providers about the treatment a patient has received, especially if there are gaps in the healthcare record.

Qualifications : Required :

Graduate from an accredited school of nursing with a BSN degree

Minimum 5 years acute hospital experience as a clinical nurse

Must read, write and speak English.

Passing grade on Clinical Competency Exam

Advanced understanding of anatomy, physiology, pathophysiology, and pharmacology

Excellent interpersonal, oral and written communication and organizational skills

Must maintain a professional demeanor

Must display a proven analytical capability

The ability to work independently with minimal supervision

Able to quickly learn new concepts and software

Preferred :

CCDS certification (preferred)

Prior experience in clinical documentation review

Understanding of ICD-10-CM coding requirements

Experience in a supervisory role

Adult acute care experience in med / surg, critical care, emergency, or PACU

Certifications and Licenses Required :