Clinical Documentation Specialist

4 weeks ago

Yonkers, United States Riverside Medical Center Full time

Overview

St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations.

St. John's has been an integral part of the community since the 1890's and its' commitment to provide the community with the most advanced medical services available continues to be the hospitals' vision, mission and value. St. John's Riverside Hospital built itself around an early foundation of nursing and community service. In 1894, the Cochran School of Nursing, the oldest hospital-based school of nursing in the metropolitan area, was founded, thus making the St. John's Nursing Staff more than just the backbone of the hospital, but the heart and soul. St. John's dedicated nurses give superior attention to those who need it most with a strong emphasis on patient and family-focused nursing care.

St. John's Riverside Hospital staff is committed to making life better for all patients. The hospital continues to elevate the services provided with the goal of increasing the quality of life for all who entrust St. John's Riverside Hospital to their care.

Personalized care together with advanced technology is what it means to be Community Strong

Responsibilities

The Clinical Documentation Specialist is a Registered Professional Nurse responsible and accountable for the review of clinical documentation to assure it meets hospital requirements. Demonstrates knowledge of nursing theory, practice and leadership ability. Plans, organizes, coordinates and evaluates the quality of clinical documentation and works collaboratively with Medical and Hospital staff to assure compliance.

Reviews inpatient medical records for identified payer population (Medicare, Medicaid, Blue Cross/Blue Shield) as directed on admission and throughout hospitalization. Analyzes clinical status of patient, current treatment plan and past medical history and identifies potential gaps in physician documentation. Communicates with attending physician either verbally or through written methodology to validate observations and suggest additional and/or more specific documentation. Works closely with HIS coding staff to assure documentation of discharge diagnosis(es) and any co-existing co-morbidities are a complete reflection of the patient's clinical status and care. Demonstrates basic knowledge about HIS standards of coding and applies to ongoing evaluation of medical record documentation. Consistently meets established productivity targets for record review. In collaboration with physician leadership, designs and implements specific tools to support medical record physician documentation. Develops and implements plans for both formal and informal education of physician, nursing and other clinical staff. Identifies strategies for sustained work process changes that facilitate complete, accurate clinical documentation. Maintains good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps identify problems, offers solutions and participates in their resolution. Maintains the confidentiality of information acquired pertaining to patient, physicians, associates and visitors to hospital. Discusses patient and hospital information only among appropriate personnel in appropriately private places.

Qualifications

Licensed and currently registered under the laws of the State New York. Minimum of five (5) years experience in adult inpatient medical/surgical or critical care or case management. BSN, MSN preferred degree or national professional certification preferred. Possesses well-developed and effective interpersonal skills and is able to communicate effectively verbally and in writing to influence physician documentation processes. Demonstrates nursing skill competencies and critical thinking. Possesses analytic skills necessary to clinically assess medical records. Demonstrates confidence in actions and exercises good judgment. Demonstrates competency skills in word processing and spread sheets utilization. Displays leadership ability and the willingness to assume authority and accountability for role functions. Possesses the ability to plan, organize, develop and implement goals, objectives, policies and procedures necessary for quality care. Demonstrates ability to recognize problems, approach them in an objective manner, reach appropriate solutions, implement them and evaluate for effectiveness. Embraces and adapts to change. Other related duties as assigned. CDI experience preferred.

  • Clinical Documentation Specialist

    4 weeks ago

    Yonkers, United States St. John's Riverside Hospital Full time

    St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and...

  • Behavioral Clinical Supervisor

    2 weeks ago

    Yonkers, United States Andrus Childrens Center Full time

    Job DescriptionJob DescriptionJob Overview of BCBA SupervisorNow Offering $1000 Sign On Bonus for this Position Job OverviewThe Behavioral Clinical Supervisor is responsible for overseeing our mixed team of BCBA therapists and Behavior Specialists in their service delivery to students participating in campus programs; this individual will provide clinical...

  • After-School Program Specialist

    7 days ago

    Yonkers, United States Andrus Childrens Center Full time

    Job DescriptionJob DescriptionJob Overview of After-School Program Specialist - PTThe After-School Program Specialist will work in a pair and is responsible for planning, facilitation, and delivery of individual and group services as part of our new Therapeutic After-School Program for children living in Yonkers and surrounding towns. The After-School...

  • Child Life Specialist

    2 weeks ago

    Yonkers, United States Elizabeth Seton Children’s Full time

    We change lives, one child at a time Elizabeth Seton Children’s Center is a pioneering provider of care, education and hope for children with some of the most challenging medical complexities any person can face. Featuring the largest long term residential medical center of its kind in the United States. Child Life Specialist Certification in Child Life,...

  • Clinical Research Coordinator

    7 days ago

    Yonkers, United States Actalent Full time

    Onsite Oncology Clinical Research Coordinator Opportunity Description: Coordinates the initiation and activation of all new clinical trial protocols. + Coordinates the preparation of study tools including but not limited to study binders, medication diaries, eligibility checklists and flow sheets (as required). + Using Oncore®/Excel ®/Word, develops...

  • Clinical Supervisor

    1 week ago

    Yonkers, United States Riverside Medical Center Full time

    Overview St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a...

  • Clinical Supervisor

    1 week ago

    Yonkers, United States Andrus Childrens Center Full time

    Job Overview of Clinical Supervisor Now Offering $1000 Sign On Bonus for this Position The Supervising Clinician provides clinical and administrative supervision for all residential clinicians working in our residential program. The Residential Supervising Clinician is the direct clinical support for the team of clinicians providing screenings, evaluations,...

  • Clinical Supervisor

    1 week ago

    Yonkers, United States St. Johns Riverside Hospital Full time

    Overview: St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a...

  • Contract Specialist

    1 month ago

    Yonkers, United States Madison Approach Full time

    Job DescriptionJob Description#zrWe are currently looking for a Contracts Specialist for our client, a manufacturing company located in Yonkers, NY. This is Temp-to-Permanent opportunity. Hours: 8:30-5:30. Pay Rate: $29-36/hr. Salary: $61-75K DOEJob Description: Contracts Specialist Responsibilities:Coordinate with Marketing and other department staff on...

  • Contract Specialist

    4 weeks ago

    Yonkers, United States Madison Approach Full time

    Job DescriptionJob DescriptionWe are currently looking for a Contracts Specialist for our client, a manufacturing company located in Yonkers, NY. This is Temp-to-Permanent opportunity. Hours: 8:30-5:30. Pay Rate: $29-36/hr. Salary: $61-75K DOEJob Description: Contracts Specialist Responsibilities:Coordinate with Marketing and other department staff on...

  • Clinical Supervisor

    7 days ago

    Yonkers, United States Andrus Childrens Center Full time

    Job DescriptionJob DescriptionJob Overview of Clinical SupervisorNow Offering $1000 Sign On Bonus for this PositionThe Supervising Clinician provides clinical and administrative supervision for all residential clinicians working in our residential program. The Residential Supervising Clinician is the direct clinical support for the team of clinicians...

  • Geriatric Psychotherapist

    4 weeks ago

    Yonkers, United States H & O Clinical PLLC Full time

    Job Summary: We are seeking a skilled and compassionate Psychotherapist to join our team. As a Psychotherapist, you will provide therapeutic services to individuals dealing with various mental health issues. Your role will involve conducting assessments, developing treatment plans, and implementing evidence-based interventions to support clients in their...

  • Child Life Specialist

    4 weeks ago

    Yonkers, United States Elizabeth Seton Children's Full time

    Responsibilities We change lives, one child at a time! Elizabeth Seton Children's Center is a pioneering provider of care, education and hope for children with some of the most challenging medical complexities any person can face. Featuring the largest long term residential medical center of its kind in the United States. Child Life Specialist Certification...

  • Housing Specialist

    6 days ago

    Yonkers, United States Westhab Inc. Full time

    Job DescriptionJob DescriptionJob Description JOB TITLE: Housing SpecialistDEPARTMENT: Housing & Rapid Re-Housing FLSA: Non-ExemptREPORTS TO: Senior Housing SpecialistLOCATION: Yonkers, NYSALARY: 40,000.00 to $45,000.00 SUMMARY: The housing specialist will help individuals and families with limited financial means obtain safe and affordable permanent...

  • Contracts Specialist

    6 days ago

    Yonkers, United States Lighthouse Professional Services Full time

    Job DescriptionJob DescriptionLighthouse Professional Services a division of Staffing 360 Solutions group, is proud to be a “Best in Staffing 2023” award winner. We have over 50 years of experience placing people with small and global companies. Our offices in New York, Connecticut, and Massachusetts serve clients nationwide. We are presently on the...

  • Contracts Specialist

    1 week ago

    Yonkers, New York, United States Staffing 360 Solutions Full time

    Lighthouse Professional Services a division of Staffing 360 Solutions group, is proud to be a "Best in Staffing 2023" award winner. We have over 50 years of experience placing people with small and global companies. Our offices in New York, Connecticut, and Massachusetts serve clients nationwide. We are presently on the lookout for a dynamic professional as...

  • Child Life Specialist

    2 weeks ago

    Yonkers, United States Elizabeth Seton Children's Full time

    Responsibilities We change lives, one child at a time! Elizabeth Seton Children's Center is a pioneering provider of care, education and hope for children with some of the most challenging medical complexities any person can face. Featuring the largest long term residential medical center of its kind in the United States. Certified Child Life...

  • Recertification Specialist

    2 weeks ago

    Yonkers, United States Related Companies Full time

    Responsibilities Are you passionate about building strong connections with residents? Are you looking to find more than just a job - rather a career filled with purpose? Do you want to make an impactful difference by providing affordable housing to those that need it most? If so, we are looking for you to join our team as a Recertification / Occupancy...

  • SOAR Specialist

    2 weeks ago

    Yonkers, United States Westhab, Inc. Full time

    Job DescriptionJob DescriptionJOB TITLE:                     SOAR SpecialistDEPARTMENT:               Adult Housing & ServicesFLSA:                              Non-ExemptLOCATION:                    Yonkers,NYREPORTS TO:                Program Coordinator/Director SALARY:                     ...

  • Child Life Specialist

    4 weeks ago

    Yonkers, United States Elizabeth Seton Children's Full time

    Responsibilities We change lives, one child at a time! Elizabeth Seton Children's Center is a pioneering provider of care, education and hope for children with some of the most challenging medical complexities any person can face. Featuring the largest long term residential medical center of its kind in the United States. Certified Child Life Specialist ...