Senior Clinical Documentation Improvement Specialist – CCDS Certification
Geisinger
full-time
Posted on:
Location Type: Remote
Location: Pennsylvania • United States
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Job Level
About the role
- Assist the providers with accurately identifying and documenting the healthcare services provided to the patient.
- Analyze clinical information, using the documentation as the primary driver for overall System Case Mix Index.
- Evaluate the documentation in order to assign the principal diagnosis, relevant secondary diagnoses, and procedures for accurate DRG assignment, risk of mortality, severity of illness.
- Formulate queries when there is missing documentation, conflicting documentation or unclear documentation.
- Provide ongoing education to physicians and essential healthcare providers regarding clinical documentation improvement.
- Collaborate with nursing staff, clinical nutrition, pharmacists, along with the physicians on documentation.
- Maintain the confidentiality of all information acquired pertaining to the patient, physician, associates, and visitors.
Requirements
- Must currently hold the required CDI certification in order to be considered for this position.
- Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP).
- Candidates must hold a Registered Nurse license in Pennsylvania or a Multistate License.
- A minimum of 3 years RN work experience is required; BSN is strongly preferred.
- Understanding of Anatomy and Physiology.
Benefits
- Health, dental, and vision insurance
- Three medical plan choices, including expanded network options
- Pre-tax savings plans (FSA & HSA)
- Company-paid life, short-term, and long-term disability insurance
- 401(k) with automatic Geisinger contributions
- Generous PTO that accrues quickly
- Up to $5,000 in tuition reimbursement per calendar year
- MyHealth Rewards wellness program with financial incentives
- Family-friendly support: adoption/fertility assistance, parental leave, military leave, and Care.com membership
- Employee Assistance Program (EAP): mental health, legal guidance, childcare/eldercare referrals, and more
- Voluntary benefits: accident, critical illness, hospital indemnity, identity theft protection, pet insurance, and more
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical documentation improvementcase mix index analysisdiagnosis assignmentDRG assignmentrisk of mortality assessmentseverity of illness evaluationquery formulationanatomy knowledgephysiology knowledge
Soft Skills
collaborationcommunicationeducationconfidentiality
Certifications
Certified Clinical Documentation Specialist (CCDS)Certified Documentation Improvement Practitioner (CDIP)Registered Nurse license