Clinical Documentation Specialist

Clinical Documentation Specialist Catholic Health System - 3.5 Buffalo, NY Job Details Full-time $74,432 - $111,638 a year 9 hours ago Qualifications Collaborate with healthcare professionals Nursing Inpatient RN License Health education for healthcare providers Bachelor of Science Patient assessment Physiology knowledge Acute care facility experience Clinical staff training Team training Clinical Documentation Certification Bachelor of Science in Nursing Clinical documentation Bachelor's degree in nursing Clinical documentation improvement Senior level Clinical documentation standards 2 years Communication skills

Physician Assistant License PA-C Full Job Description Facility:

Administrative Regional Training Cntr Shift:

Shift 1

Status:

Full Time FTE:

1.000000

Bargaining Unit:

ACE Associates Exempt from

Overtime:

Exempt:

Yes Work Schedule:

Days Hours:

Monday through Friday 8am - 4pm Hybrid on site 1 to 2 days week.

Summary:

The Clinical Documentation Integrity (CDI) program is designed to support consistent, complete, precise, reliable, non-contradictory documentation integral to the accurate representation of a patient's clinical status. The Clinical Documentation Specialist works collaboratively, through concurrent interaction, with physicians, nursing staff, advance practice providers, other members of the care team, and Health Information coding staff to support the appropriate clinical severity is captured for the level of services rendered for the patients. Provides educational resources and programs for all members of the care team on an ongoing basis.

Responsibilities:

EDUCATION

Bachelor of Science Nursing (BSN) degree or Graduate of an approved NCCPA (National Commission on Certification of Physician Assistants and CAHEA accredited Physician Assistant training program (Committee on Allied Health Education and Accreditation of the AMA) Registered Nurse with a current New York State license or Valid Licensed Physician Assistant in New York, Current NYS license

CERTIFICATION

Certified Clinical Documentation Specialist (CCDS) is required within a year of hire for new associates with more than two (2) years of CDI experience, or within three (3) years for associates with no prior CDI experience Must maintain NY State RN License

EXPERIENCE

Three years (3) recent clinical experience in acute hospital setting, or related experience required Five year (5) clinical experience in an acute care setting as an Inpatient nurse or related experience preferred

KNOWLEDGE, SKILL AND ABILITY

Meets skill and educational requirements of the RN Ability to work independently in a time-oriented environment Excellent interpersonal communication and networking skills Excellent critical thinking, discernment, and clinical assessment skills Excellent problem solving and good verbal and written communication skills Ability to relate well and establish partnerships with the physicians to maximize the quality of care for Catholic Health patients Self-Confident personality traits to facilitate ongoing physician communication Extensive clinical knowledge and understanding of pathology/physiology; best demonstrated by clinical experience in hospital setting Knowledge of age-specific patient needs and the elements of disease processes and related procedures

WORKING CONDITIONS ENVIRONMENT

Normal heat, light space, and safe working environment; typical of most office jobs