We are currently interviewing for a Clinical Document Improvement Specialist RN to work in our state of the art facility in New York City, New York.  This is your opportunity to work for a top hospital. 

 

Clinical Documentation Specialist Quick Points 

**Pay up to 110K per year 

** Work for one of the best hospitals in the country

** Awesome New York City Location

** Onsite Childcare

**Hospital Housing

 

Why Work with The Prentice Group?

 

**Exclusive Prentice Group Sign On Bonuses offered on top of any hospital sign on

**We have direct line communication with department directors and hiring managers

**Quick interviews

**Constant pulse of market trends nationwide

**Ability to set up multiple interviews with different facilities

 

 

Clinical Documentation Specialist Job Description:

 

The Clinical Documentation Improvement Specialist (CDS) performs concurrent review of the medical record, issues concurrent physician inquiries, and interacts with the medical staff and other caregivers in an effort to assure complete and accurate documentation of the patient's clinical picture and the treatment provided. The CDS acts as a liaison between Coding professionals and the medical staff. 

 

The CDS duties include but are not limited to: 

 

**Obtains and promotes appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and coding staff to ensure that the documentation of the level of service rendered to the patient and the patient's clinical complexity is complete and accurate. 

**Reviews medical records and identifies potential gaps in clinical documentation for specified patients types and Payor populations as directed on admission and throughout hospitalization. 

**Queries physicians and other caregivers as necessary via approved written communication mechanisms to obtain accurate and complete documentation that supports the severity of patient illness, intensity of services and risk of mortality 

**Completes concurrent review on 85% of assigned population 

**Achieves and maintains 95% accuracy rate 

**Works closely with coding and case management staff to assure documentation of discharge diagnoses and any co-existing co morbidities or complications to completely reflect the patient's clinical status and care 

**Demonstrates basic knowledge of coding standards and application to ongoing evaluation of medical record documentation , to validate ICD-9-CM codes and DRG appropriateness, missed secondary diagnoses and procedure and ensure compliance and accuracy of the MS-DRG and APR DRG. 

**Develops and implements plans for both formal and informal education of physician, nursing, and other clinical staff 

**Identifies strategies through data gathering and analysis of trends to establish recommendations for sustained work process changes that facilitate complete, accurate clinical documentation 

**Consistently meets established productivity targets for record review 

 

CDS Job Requirements:

 

**BSN Required 

**Recent experience in the practice of clinical documentation

**Minimum of 2 years experience
**NY RN License or ability to obtain
**The strong desire to Live and Work in NYC

 

How to Apply: 

 

Please send the most recent copy of your resume to info@theprenticegroup.com.