Clinical Documentation Specialist II

2 months ago

Baltimore, Maryland, United States Johns Hopkins Medicine Full time

YOU BELONG HERE

What Awaits You?

  • Career growth and development
  • Employee and Dependent Tuition Assistance
  • Diverse and collaborative working environment
  • Affordable and comprehensive benefits package

Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link:

Summary:

Facilitates the improvement in the overall quality and completeness of concurrent medical record documentation to help achieve accurate inpatient coding, APR-DRG assignment and severity and risk of mortality levels. Obtains appropriate documentation through interactions with physicians and staff. Develop and maintain provider engagement. Responsible for overall efficiency and effectiveness of the service lines assigned. Interacts with CDI educator on quarterly content development and service line education as needed.

Education:

Requires successful completion of an accredited program:

a) requires Baccalaureate degree, or associate degree, or diploma in nursing from an accredited School of Nursing OR

b) requires successful completion of an AMA approved Physician Assistant program, OR

c) requires successful completion of the academic requirements or Health Information Technician - RHIT or Registered Health Information Administrator - RHIA certification accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM).

Work Experience:

RN: Requires a minimum of 3 years Registered Nurse clinical experience in similarly complex acute care setting. Minimum of 2 years as a Clinical Documentation Specialist required. In lieu of complex acute care experience, a minimum of 3 years of CDI experience, and /or other relevant clinical experience may be considered.

PA: Requires a minimum of 3 years Physician Assistant experience in a similarly complex acute care setting. Minimum of 2 years as a Clinical Documentation Specialist required. In lieu of complex acute care experience, a minimum of 3 years of CDI experience, and /or other relevant clinical experience may be considered

RHIT/RHIA: Requires minimum of 3 years with acute inpatient coding experience. Minimum of 2 years as a Clinical Documentation Specialist required. In lieu of acute inpatient coding experience, a minimum of 4 years of CDI experience, and /or relevant clinical experience may be considered.

Licensure/Certification:

RN: Must possess current licensure to practice as RN in State of Maryland or another state that participates in the Nurse Licensure Compact.

PA: Must possess current licensure to practice as a PA by the Maryland Board of Physicians. Board certified by the National Commission on Certification of Physician Assistants (NCCPA).

RHIT/RHIA: Must possess certification through the American Health Information management Association and be a Certified Coding Specialist (CCS).

Requires certification as a CCDS/CDIP or must acquire certification within 1 year of advancement to a CDS-II.

Important Notices:

***Effective January 1st 2022, you must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of your vaccination status as part of your occupational health screening. Exceptions to the COVID-19 vaccination requirement may be granted to individuals for religious beliefs or medical reasons by following the proper protocols. Employees at Johns Hopkins All Children's Hospital, its affiliate locations and Florida State Residents are not required to obtain the COVID-19 vaccine. In the wake of the COVID-19 pandemic, the Johns Hopkins Health System remains committed to providing the highest quality care for our patients and our communities. We encourage you to explore our current opportunities.

***Authorization to Work in the United States: Applicants who require sponsorship now or in the future will not be considered for this position.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

We are committed to providing a healthy and safe environment for our patients, visitors and staff members. The Johns Hopkins Hospital has a tobacco-free at work policy. Employees must refrain from using any tobacco products during their work shifts — including while at lunch or on breaks, and whether they are on or off campus.

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