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Jefferson Health

Academic health system

Lead Clinical Documentation Improvement Specialist

Clinical Support & Patient AdministrationPosted on Nov 10
Full-timeTurnersville, Washington Township, NJ, USA$93k - $141.4k /yr

About the Job

Requirements

  • A minimum of three years of experience as a Clinical Documentation Improvement specialist is required.
  • A minimum of three years of hands-on clinical experience in nursing, medical school, respiratory therapy, physician assistant practice, or residency, or five years of inpatient acute-care medical coding experience is required.
  • An Associate or Bachelor of Science in Nursing, a medical graduate degree, or an Associate or Bachelor degree in another clinical health profession is required.
  • Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) certification is required.
  • Strong working knowledge and experience in clinical record reviews, 3M encoder coding systems, the diagnosis-related group (DRG) system, and Epic electronic health record (EHR) system are required.
  • Expert-level working knowledge of ICD-10-CM/PCS coding conventions and severity of illness/risk of mortality (SOI/ROM) is required.
  • Strong working knowledge of Microsoft Office, including Outlook, Word, Excel, and PowerPoint, is required.
  • Awareness of compliance and regulatory guidelines is required.
  • The ability to work independently and as a team member is required.
  • Effective problem-solving skills are required.
  • The ability to meet departmental goals on an ongoing basis is required.

Responsibilities

  • Support organizational goals by identifying opportunities to partner with providers and provide education and feedback so documentation reflects all diagnoses.
  • Interact with coworkers and visitors and support staff performance and day-to-day operations to ensure departmental goals are met.
  • Assist supervisory staff with workflow, staff performance, and day-to-day operations to ensure departmental goals are met.
  • Conduct training and mentoring sessions for new and existing staff.
  • Assist employees with day-to-day questions, issues, or problems, and escalate systemic issues to a supervisor.
  • Manage assigned work queues.
  • Validate monthly reporting for staff, providers, and leadership.

Desired Qualifications

  • Prior experience in Clinical Documentation Improvement at a large academic medical center.

About the Company

Jefferson Health

Academic health system

Jefferson Health is an academic health system serving Philadelphia, South Jersey, and surrounding communities. The system delivers hospital, specialty, primary, emergency, outpatient, research, and professional education services across its care network. It serves patients, families, clinicians, students, researchers, and regional communities. Its operating model centers on clinical care integrated with university education, research, physician practices, and shared health-system operations. Teams work across nursing, physicians, allied health, research, education, technology, facilities, administration, and patient access. This structure supports consistent delivery across the organization.

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