Clinical Documentation Specialist 

Good Samaritan University Hospital is a 537- bed (including 100 nursing home beds) teaching hospital and a member of Catholic Health. With almost 900 physicians on staff, and a level I Trauma Center, we care for well over 100,000 patients annually across the south shore of Long Island. Our reputation for excellence is built on great choices and empowered leadership, and fosters a team that's focused on evidence based practice, continual learning and exceptional quality of care.

The clinical documentation specialist is responsible for improving the overall quality and completeness of clinical documentation within the inpatient record.

Responsibilities:

•Performs concurrent reviews, facilitates modifications to the clinical documentation to accurately reflect the severity of illness and risk of mortality through extensive interaction with physicians, coding and other health care professionals

•Serves as a resource to improve capture and accuracy of the final coded DRG; able to meet daily production expectations, while impacting on the integrity of the in-patient record. This position requires attention to detail and is production based

•Educate health care professionals in various settings

Requirements:

•Registered Nurse, Nurse Practitioner, Physician Assistant or MD licensed to practice in the State of New York required.

•Must have strong current clinical knowledge and be able to collaborate with healthcare professionals in an efficient effective professional manner

•Minimum of 5 years recent staff nurse clinical acute care in-patient experience required. 

•Critical care experience preferred.

•Candidate needs to be self-motivated, self-directed, and able to work independently with minimal supervision.

•Must be able to read, understand and apply coding guidelines (after training). Must have excellent communication skills, both verbal and written

•Proficient in Microsoft Word, Excel, Windows and Power Point

The pay for this position ranges from $60.00 - $70.00per hour.This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, differential pay or other forms of compensation that may be applicable to this job and it does not include the value of benefits.At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.

At Catholic Health your well-being comes first, with comprehensive compensation and benefits; our offerings go beyond the basics. In addition to multiple medical plans, life insurance, generous paid time off and flexible spending accounts, we also offer substantial tuition reimbursement, an employer funded pension plan and several savings plan options for your future.