Clinical Document Specialist RN -Full Time Day

at  RWJBarnabas Health

We are looking for an RN with a passion to join our Documentation Specialist Team
This position is for CMC in Toms River

The Clinical Documentation Specialist (CDS) responsibilities include:

• Concurrently review and evaluate selected patient’s medical records for overall quality and completeness
• Assisting in clarifying documentation regarding the patient s diagnoses and/or procedures, co-morbid conditions, complications, and other reportable data elements
• Clarifications will be completed by utilizing computer software to generate the clarification.
• On-site presence, support, and collaboration with physicians, non-physician clinicians, and coding professionals regarding documentation opportunities, coding and reimbursement issues, and relevant quality and performance improvement opportunities.
• Continued participation in ongoing required education

Education:

• Current New Jersey Licensed Registered Nurse
• BSN degree
• CCDS certification (preferred)

Required:

• Passing grade on Nuance Clinical Competency Exam
• Minimum 5 years acute hospital experience as a clinical nurse

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

Equal Opportunity Employer
RWJBarnabas Health is a

• Concurrently review and evaluate selected patient’s medical records for overall quality and completeness
• Assisting in clarifying documentation regarding the patient s diagnoses and/or procedures, co-morbid conditions, complications, and other reportable data elements
• Clarifications will be completed by utilizing computer software to generate the clarification.
• On-site presence, support, and collaboration with physicians, non-physician clinicians, and coding professionals regarding documentation opportunities, coding and reimbursement issues, and relevant quality and performance improvement opportunities.
• Continued participation in ongoing required educatio