Clinical Documentation Improvement Specialist
The Clinical Documentation Improvement Specialist will validate the overall quality of completeness of the clinical documentation for patients at Roswell Park Comprehensive Cancer Center. They will review, abstract and analyze both inpatient and outpatient health records to ensure the documentation effectively reflects the severity of illness, co-morbidities, risk of mortality, and quality health measures set forth by CMS. They will also collaborate with physicians, nurses, allied health practitioners, Case Management, and Coding Department to ensure accuracy and completeness of clinical information used for measuring and reporting physician and hospital outcomes. The Clinical Documentation Improvement Specialist also must utilize strong communication skills, tact and diplomacy.
Applicants must have a A license to practice as a Registered Nurse in the State of New York, graduation from an accredited school of nursing, and the equivalent of four years of full-time nursing experience; or A license to practice as a Licensed Practical Nurse in the State of New York, graduation from an accredited school of nursing, and the equivalent of five years of full-time nursing experience; or an Associate’s Degree with certification as a Certified Documentation Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), or related certification. The preferred candidate will be a Certified Clinical Documentation Specialist (CCDS) or a Certified Documentation Improvement Practitioner (CDIP). They will have a working knowledge of ICD-10CM, ICD-10 PCS, CPT and HCPCS Code set, MS-DRG, and APR-DRG, familiarity of CMS federal, state and private payer regulations, and will be proficient in computer use, including database and spreadsheet analysis. They will also have experience working within Electronic Medical Record and will have clinical understanding of severity of illness, risk of mortality, co-morbidities and case mix index.
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Interested applicants may apply by uploading a cover letter and resume below in Microsoft Word or PDF format.