Senior Clinical Documentation Improvement Specialist – CCDS Certification
Job Description:
- 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
