Senior Clinical Documentation Improvement Specialist, RN (CCDS Certification required)

Description:
• Improves the physician’s documentation in the patient’s medical record
• Assists the providers with accurately identifying and documenting the healthcare services provided to the patient
• Acts as documentation liaison to physician staff as a means of finalizing information in the medical record
• Reviews inpatient medical records within 24-48 hours of admission for a specified patient population
• Formulates queries when it is determined there is missing, conflicting or unclear documentation
• Attends physician rounds on assigned units and interdisciplinary team meetings as appropriate
• Provides on-going education to physicians and essential healthcare providers regarding clinical documentation improvement
• Collaborates with nursing staff and other healthcare providers on documentation to resolve queries prior to the patient’s discharge
• Identifies strategies for sustained work process changes that facilitate complete, accurate clinical documentation
• Maintains confidentiality of all information acquired, pertaining to the patient, physician, associates, and visitors
• Promotes partnership with Inpatient Coding staff to assure documentation reflects the accuracy of the patient’s clinical status
• Communicates and partners with the CDI Director regarding issues in need of a coordinated resolution

Requirements:
• Must currently hold one of the following certifications- Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)
• Applicants must currently hold the required CDI certification in order to be considered for this position.
• Licensure: Must hold a Registered Nurse license in Pennsylvania or a Multistate License
• 3 years RN work experience is required; BSN is strongly preferred

Benefits:
• Full benefits (health, dental and vision) starting on day one
• Three medical plan choices, including an expanded network for out-of-area employees and dependents
• Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA)
• Company-paid life insurance, short-term disability, and long-term disability coverage
• 401(k) plan that includes automatic Geisinger contributions
• Generous paid time off (PTO) plan that allows you to accrue time quickly
• Up to $5,000 in tuition reimbursement per calendar year
• MyHealth Rewards wellness program to improve your health while earning a financial incentive
• Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones
• Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care. Access free legal guidance, mental health visits, work-life support, digital self-help tools and more.
• Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance

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