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Clinical Documentation Specialist II (RN)
LifeBridge Health Baltimore, MD
$77k-98k (estimate)
Full Time | Ambulatory Healthcare Services 2 Months Ago
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LifeBridge Health is Hiring a Clinical Documentation Specialist II (RN) Near Baltimore, MD

Clinical Documentation Specialist II (RN)

  • Baltimore, MD
  • SINAI CORPORATE
  • HLTH INFORMATION MNG
  • Full-time - Day shift - 8:00am-4:30pm
  • RN Other
  • 82556
  • Posted: Today
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Summary

JOB SUMMARY: Facilitates improvement in the overall quality and completeness of medical record documentation and obtains appropriate documentation through extensive interactions with providers. Performs review of assigned cases with Maryland Hospital Acquired Conditions (MHACs) and ICD-10 code related Quality indicators.
ESSENTIAL FUNCTIONS:
  • Review - Reviews inpatient records concurrently and/or retrospectively to obtain complete clinical documentation of diagnoses.
  • Review Quality Indicators - Uses resources to determine clinical validity and accurate code assignment of Maryland Hospital Acquired Conditions (MHAC) and other coding related quality indicators.
  • Educate - On an ongoing basis, educates all members of the patient care team on documentation.
  • Report - Maintains data and produces reports related to the CDI program and the MHAC reviews.

REQUIREMENTS: Basic professional knowledge; equivalent to a Bachelor's degree; working knowledge of theory and practice within a specialized field. Education: 5 Years as a RN, PA, or MD 2-5 years as a CDI Certification: CDIP or CCDS. Experience: 5-7years.

CERTIFICATIONS: Maryland Registered Nurse License; Physician's Assistant; Medical Doctor; CDIP or CCDS.

Additional Information

As one of the largest health care providers in Maryland, with 13,000 team members, We strive to CARE BRAVELY for over 1 million patients annually. LifeBridge Health includes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: LifeBridge Health & Fitness, ExpressCare and HomeCare of Maryland.
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Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$77k-98k (estimate)

POST DATE

03/24/2024

EXPIRATION DATE

05/09/2024

HEADQUARTERS

BALTIMORE, MD

SIZE

3,000 - 7,500

FOUNDED

2018

CEO

SHIVANI NARASIMHAN

REVENUE

$1B - $3B

INDUSTRY

Ambulatory Healthcare Services

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