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Geisinger

Better health, easier.

Senior Clinical Documentation Improvement Specialist – CCDS Certification

Medical writerMedical writerFull TimeRemoteSeniorTeam 10,001+Since 1915H1B SponsorCompany SiteLinkedIn

Location

Pennsylvania

Posted

32 days ago

Salary

Not specified

Seniority

Senior

Professional Certificate3 yrs expEnglish

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.

Job 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

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