Clinical Documentation Specialist II- RN- Remote
$102,000–$158,392 year
Remote · New York City, New York, United States or US
Job Summary
The Clinical Documentation Specialist II initiates concurrent queries to enhance the accuracy and quality of patient data and documentation in medical records. Key responsibilities include reviewing inpatient records for completeness and accuracy, facilitating modifications to physician documentation, and collaborating with health information coding staff. Candidates must possess a Bachelor's in Nursing and an active RN license, alongside 2-5 years of experience in medical/surgical nursing and recent CDI experience. Proficiency in query writing and knowledge of chart audits are essential.
Required Qualifications
- Bachelor’s in Nursing
- RN License
- 2-5 years of medical/surgical nursing experience in the acute hospital setting
- Experienced Clinical Documentation Specialist with minimum of 2 years recent experience in CDI role
- Proficient skill in query writing to physicians
- Knowledge to accurately complete chart audits
- Organizational and critical thinking skills
Desired Qualifications
- Clinical Documentation Specialist Certification via ACDIS or AHIMA
- Critical Care and/or Emergency Nursing experience
Additional Requirements
- Must be vaccinated against influenza as a condition of employment
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