Clinical Documentation Specialist (RN)

Clinical Documentation Specialist (RN)

Saint Barnabas Medical Center - Livingston, NJ - JOB SUMMARY: The Clinical Documentation Specialist (CDS) responsibilities include assisting in clarifying documentation regarding the patient's diagnoses and/or procedures, co-morbid conditions, complications, and other reportable data elements. Clarifications will be completed by utilizing computer software to generate the clarification. A clarification is defined as a question posed to a physician to obtain additional documentation to improve the specificity and completeness of the chart documentation elements used to assign diagnosis and procedure codes or other reportable data elements within the health record. A physician clarification is recommended when an inpatient medical record has incomplete, inconsistent, unclear, ambiguous or conflicting documentation. Clarifications should be written in the following situations: Clinical indicators of a diagnosis are present, but there is no documentation of the condition Will offer multiple choices within the clarification Clinical indic... - Permanent - Full-time

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via Sarkari Naukri
Clinical Documentation Specialist (RN) Clinical Documentation Specialist (RN) Reviewed by Rashesh Patel on January 12, 2020 Rating: 5

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