Lead Clinical Documentation Specialist - Utilization Management

UR Medicine Thompson Health
Any Location, NY
Category Healthcare
Remote
Job Description
Role Overview

Join our growing and well-respected community health system as a Lead Clinical Documentation Specialist. This role involves performing extensive medical record review, facilitating clinical documentation improvement, and overseeing training and education for providers and CDI staff.

What You Will Do

Perform medical record review, facilitate clinical documentation improvement, and oversee training and education for providers and CDI staff.

Why It Might Be a Fit

This role requires advanced clinical knowledge, expertise in coding and reimbursement methodologies, and proficiency in auditing and quality assurance. The ideal candidate will have a strong grasp of compliant clinical documentation practices and be able to lead a team of CDI specialists.

Requirements

  • Licensed RN with minimum of 5 years inpatient clinical experience
  • CDS (Clinical Documentation Specialist) or CDIP (Clinical Documentation Improvement Practitioner) certification required within two years of starting the role
  • AAS required, BSN preferred or willingness to complete within 5 years of hire
  • Minimum 3-5 years CDI experience
  • Leadership experience preferred
  • Advanced clinical experience with extensive knowledge of complex disease processes preferred
  • Proficiency with computers, spreadsheets, and Microsoft office

Benefits

  • Competitive pay
  • Free parking
  • Tuition assistance
  • Other excellent benefits
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