Clinical Documentation Specialist ( RN ) - Catholic Health

St. Francis Hospital, affiliated with Catholic Health, was named one of the country’s “Best Places to Work” by Modern Healthcare Magazine, and ranked among the nation’s top hospitals for Cardiology & Heart Surgery, Gastroenterology and GI Surgery, Geriatrics and Orthopedics by U.S. News & World Report for the 10^th year in a row. Along with being the only designated cardiac specialty hospital in NY State, we are the only hospital on Long Island to be nationally ranked in any of the 16 data-driven adult specialties.

Our prestigious hospital is currently seeking a Clinical Documentation Specialist ( RN ) to play an integral role in medical record review and apply knowledge of ICD-10 coding standards and documentation guidelines ensuring overall completeness and quality of Clinical Documentation.

Responsibilities will include:

• Chart review of inpatient medical records concurrently and retrospectively
• Promotes continuity and specificity of clinical documentation throughout the record
• Provides information/education as necessary to physicians and mid-level providers regarding ICD-10 CM/PCS Coding Rules and regulations
• Improve quality, completeness, and accuracy of Medical Record documentation in accordance with ICD-10-CM Official Coding Guidelines and AHIMA and ACDIS guidance for Clinical Documentation Improvement

Requirements include:

• Bachelor of Science in Nursing
• Valid NYS RN license
• Strong clinical knowledge with a minimum of 5 years’ clinical experience in acute hospital setting, critical care experience preferred
• Chart review skills with ICD-10-CM/PCS experience preferred
• CCDS certification or acquisition within 2 years of start date
• MS Office and EMR/EPIC preferred
• Flexibility, excellent teamwork, critical thinking skills, decision making and communication skills

**This is a hybrid position and does require on-site, in-person work at the hospital**

This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, differential pay or other forms of compensation that may be applicable to this job and it does not include the value of benefits.

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.