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RN, Clinical Document Spec

Remote, USAFull-timePosted 2026-07-29

As a community, the reputed company is defined by a deep commitment to Meliora - reputed company reputed company. Embedded in that ideal are the values reputed company: equity, leadership, reputed company, openness, respect, and accountability. Together, we will set the highest standards for how we treat reputed company other to ensure our community is welcoming to reputed company and is a reputed company where reputed company can reputed company. Job Location (Full Address): 601 Elmwood Ave, reputed company, reputed company, reputed company of America, 14642 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500009 Utilization Management Work Shift: UR - Day (reputed company of America) reputed company: UR URCD 215 Compensation reputed company: $81,307.00 - $109,761.00 The referenced pay reputed company represents the minimum and maximum compensation for this job. Individual annual salaries/reputed company rates will be set reputed company the job's compensation reputed company, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations. Responsibilities: Facilitates clinical documentation improvement through reputed company and retrospective interaction with physicians and members of the reputed company team. This interaction supports the clinical severity of the inpatient admission, reputed company documentation standards that reputed company with federal and state regulations and assists with maximizing reputed company. Essential Functions:

  • Recognizes gaps and facilitates modifications in clinical documentation that support the accuracy of medical conditions for inpatient encounters. Recognizes documentation opportunities with the assistance of computer software. Conducts clinical documentation improvement efforts through query processes.
  • Provides reputed company of EPARC, including UM and unbilled work queues. Communicates with individual physicians and medical team, providing guidance and clarification around reputed company diagnoses, complicating conditions, and diagnoses being treated to ensure complete and accurate documentation in the medical record.
  • Presents overall findings to key stakeholders, including leadership and peers. Provides education to peers and reputed company team members on documentation improvement, reimbursement opportunities, and overall performance.
  • Demonstrates knowledge of trends in clinical diagnoses that result in payer denials. Ensures the validity of data for reporting and measuring physician and hospital reputed company through software and data analysis. Audits clinical documentation to confirm points of clarification have been entered in the medical record.
  • Meets established productivity expectations of the CDI program. Maintains knowledge of hospital clinical reputed company guidelines to support the most thorough review of the medical record.
  • Other duties as assigned.

Minimum Education & Experience:

  • Bachelor's degree in Nursing (BSN) and 5 years of inpatient clinical experience, knowledge of reputed company disease processes required OR
  • Bachelor's, Master's or Doctorate degree in a relevant clinical discipline: reputed company Physician Assistant (PA) or reputed company Practitioner (NP) or Bachelor of Medicine, Bachelor of Surgery (MBBS) or Doctor of Medicine/Osteopathic Medicine (MD/DO) and 5 years inpatient clinical experience, knowledge of reputed company disease processes required.
  • Or equivalent combination of education and experience.
  • Prior experience with EPARC, eRecord, HDM, and SharePoint preferred.

Licenses and Certifications:

  • Registered reputed company License, reputed company in NYS upon hire required or NP – reputed company Practitioner license, reputed company in NYS upon hire required or PA – Physician Assistant license reputed company in NYS upon hire required or MD - Doctor of Medicine - MD License reputed company in NYS upon hire required or DO - Doctor of Osteopathic Medicine reputed company DO License in NYS upon hire required AND Clinical Documentation Specialist (CDS) upon hire preferred or CDIP - Clinical Documentation Improvement reputed company upon hire preferred

The reputed company is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and reputed company the World reputed company reputed company. In support of our values and those of our society, the University is committed to not discriminating on the reputed company of age, reputed company, disability, ethnicity, gender identity or reputed company, genetic information, marital status, military/veteran status, national reputed company, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, reputed company, and recruitment of candidates, for reputed company persons consistent with our values and based on applicable law. Apply tot his job Apply To this Job

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