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Position Details
The Clinical Documentation Specialist (CDS) is responsible for medical record review, collaboration with professional inpatient coding professionals, reconciliations of assigned cases and the accurate reporting of Clinical Documentation Integrity (CDI) program metrics. Additionally, responsible for overall efficiency and effectiveness of the service lines assigned, provider engagement and relationship establishment with physician liaisons. Interacts with CDI educator on quarterly content development and service line education as needed. Additional responsibilities as assigned. This role reports to the Manager.
Education:
Requires successful completion of:
Required Licensure and Certification :
All CDS level IIs are required to maintain certification as a Certified Clinical Documentation Specialist (CCDS via ACDIS) or Certified Documentation Integrity Practitioner (CDIP via AHIMA).
RN/APRN: Must possess a current RN compact (multistate) license in the state in which you reside. If your state or the Johns Hopkins Health System location in which you are assigned does not participate in the Nurse Licensure Compact, an RN license for the state in which you are assigned will be required.
PA: Must possess current licensure to practice as a Physician Assistant (PA) in the state in which you reside and be board-certified by the National Commission on Certification of Physician Assistants (NCCPA). If your state or the Johns Hopkins Health System location in which you are assigned does not participate in the PA Licensure Compact, a PA license for the state in which you are assigned will be required.
RHIT/RHIA: Requires successful completion of the academic requirements for Registered Health Information Technician (RHIT)certification or Registered Health Information Administrator (RHIA) certification accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) and be a Certified Coding Specialist (CCS).
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 at least 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.
We’re proud to offer a robust benefits package that supports your health, growth, and well-being. Discover our full offerings and costs here: mybenefitsjhhs.com
What Awaits You:
Salary Range: Minimum 42.33/hour - Maximum 69.88/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
The Hospital reserves the right to modify employee schedules as needed.
We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
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