Facility: Administrative Regional Training Cntr
Shift: Shift 1
Status: Full Time
FTE: 1.000000
Bargaining Unit: ACE Associates
Exempt from Overtime: Exempt: Yes
Work Schedule: Days
Hours:
Monday through Friday 8am - 4pm Hybrid on site 1 to 2 days week.
Summary:
The Clinical Documentation Integrity (CDI) program is designed to support consistent, complete, precise, reliable, non-contradictory documentation integral to the accurate representation of a patient's clinical status. The Clinical Documentation Specialist works collaboratively, through concurrent interaction, with physicians, nursing staff, advance practice providers, other members of the care team, and Health Information coding staff to support the appropriate clinical severity is captured for the level of services rendered for the patients. Provides educational resources and programs for all members of the care team on an ongoing basis.
Responsibilities:
EDUCATION
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Bachelor of Science Nursing (BSN) degree or Graduate of an approved NCCPA (National Commission on Certification of Physician Assistants and CAHEA accredited Physician Assistant training program (Committee on Allied Health Education and Accreditation of the AMA)
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Registered Nurse with a current New York State license or Valid Licensed Physician Assistant in New York, Current NYS license
CERTIFICATION
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Certified Clinical Documentation Specialist (CCDS) is required within a year of hire for new associates with more than two (2) years of CDI experience, or within three (3) years for associates with no prior CDI experience
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Must maintain NY State RN License
EXPERIENCE
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Three years (3) recent clinical experience in acute hospital setting, or related experience required
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Five year (5) clinical experience in an acute care setting as an Inpatient nurse or related experience preferred
- KNOWLEDGE, SKILL AND ABILITY
- Meets skill and educational requirements of the RN
- Ability to work independently in a time-oriented environment
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Excellent interpersonal communication and networking skills
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Excellent critical thinking, discernment, and clinical assessment skills
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Excellent problem solving and good verbal and written communication skills
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Ability to relate well and establish partnerships with the physicians to maximize the quality of care for Catholic Health patients
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Self-Confident personality traits to facilitate ongoing physician communication
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Extensive clinical knowledge and understanding of pathology/physiology; best demonstrated by clinical experience in hospital setting
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Knowledge of age-specific patient needs and the elements of disease processes and related procedures
WORKING CONDITIONS
ENVIRONMENT
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Normal heat, light space, and safe working environment; typical of most office jobs
