Lead Specialist, Clinical Documentation (JR233879)

<strong>To heal, to teach, to discover and to advance the health of the communities we serve.</strong>

Newburgh, New York

Montefiore St. Luke's Cornwall

<h4 class="">For 150 years, Montefiore St. Luke&rsquo;s Cornwall (MSLC) has been a cornerstone of high-quality healthcare in Orange County, fostering a healing environment through collaboration, dedicated staff, and a rich history.&nbsp;What&nbsp;started as three-bed hospital in 1875 has grown into a healthcare system with two campuses and a wide range of outpatient services.&nbsp;<br /><br /><span style="text-decoration: underline;"><a href="https://montefiore.wd12.myworkdayjobs.com/en-US/MMC/login" target="_blank" title="Candidate Home" rel="noopener noreferrer">Sign In</a></span>&nbsp;- Candidate Home<br /><span style="text-decoration: underline;"><a href="https://montefiore.wd12.myworkdayjobs.com/en-US/MMC/introduceYourself" target="_blank" title="Introduce Yourself " rel="noopener noreferrer">Introduce Yourself&nbsp;</a></span>-&nbsp;Please let us know about yourself so we can keep in touch about future job openings!<br /><strong><span class=""><br /></span>Benefits:<br /></strong>MSLC&nbsp;strives to be the employer of choice by offering comprehensive benefit packages that are designed to meet the needs of today's workforce. We are committed to assisting employees to achieve optimal health, wellness, and financial security. Our benefit packages include medical, dental, vision, and life insurance, 403(b) retirement plan, tuition reimbursement, a generous paid time off plan, as well as various other optional benefits.<strong><br /></strong></h4> https://www.montefiore.org/

keywords: position summary,quality assurance,documentation,experience,education,certification

Full time

$110,000 - $130,000

Overview: The Lead Clinical Documentation Integrity Specialist (CDIS) coordinates the prioritization and oversees the day-to-day workflow of the CDI staff and provides clinical documentation improvement expertise.&nbsp;
Responsibilities: <ul> <li>This position is an experienced CDIS who works in partnership with the HIM Director and Physician Advisors to ensure high quality and production standards are met.&nbsp;</li> <li>This will be accomplished through data evaluation and review of medical records and daily staff communication.</li> <li>CDIS is responsible for improving the overall quality and completeness of clinical documentation.&nbsp;</li> <li>CDIS facilitates modifications to clinical documentation through concurrent interaction with physicians and other clinicians to ensure that documentation reflects complete and accurate level of service rendered to patients.</li> </ul>
Requirements: <strong>Education/Training:</strong>&nbsp; <br /><br /> <ul> <li>Bachelor&rsquo;s Degree in Nursing required.</li> <li>Ability to read, write, and communicate in English.</li> </ul> <br /><br /><strong>Experience:&nbsp; <br /><br /></strong> <ul> <li>A minimum of 3 years of acute care nursing experience required.&nbsp;</li> <li>ICU experience preferred. Minimum 2 years of CDIS in acute care hospital.&nbsp;</li> <li>Advanced clinical expertise and extensive knowledge of complex disease processes with broad clinical experience in an inpatient setting required.&nbsp;</li> <li>Ability to analyze, produce and present high-level analysis and metrics.&nbsp;</li> <li>Epic and lodine experience preferred.&nbsp;</li> <li>Proficient in MS Office and MS Teams.&nbsp;</li> <li>Must be able to troubleshoot remote computer connectivity issues.</li> </ul> <p>&nbsp;</p> <strong>Licensure, Registration or Certification:&nbsp; <br /><br /></strong> <ul> <li>Registered Nurse required.&nbsp;</li> <li>CDIS certification through ACDIS or AHIMA required.</li> </ul>