Clinical Document Specialist

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The Johns Hopkins Health System Corporation (JHHS) is a not-for-profit organization dedicated to providing the highest quality patient health care in the treatment and prevention of human illness. JHHS is an academically based health system. JHHS' most important collaboration is with The Johns Hopkins University School of Medicine. This collaboration is known as Johns Hopkins Medicine, a vehicle for internal operational coordination and a united voice for external initiatives.

About this position:

The Clinical Document Specialist facilitates the improvement in the overall quality and completeness of concurrent medical record documentation to help achieve accurate inpatient coding, APR-DRG assignment and severity and risk of mortality levels. Obtains appropriate documentation through interactions with physicians and staff. Develop and maintain provider engagement. Responsible for overall efficiency and effectiveness of the service lines assigned. Interacts with CDI educator on quarterly content development and service line education as needed.

What we offer:

You can enjoy an environment that is continually recognized as one of the best workplaces in the world. In addition to working with some of the best and brightest in the medical field, we offer our employees generous benefits:

• Medical, Dental, and Vision Insurance.
• 403B Savings Plan w/employer contribution.
• Paid Time off & Paid holidays.
• Employee and Dependent Tuition assistance benefits.
• Health and wellness programs and MORE!

What you will bring:

Professional Licensure and Certification Requirements:

• RN: Must possess current licensure to practice as RN in State of Maryland or another state that participates in the Nurse Licensure Compact.
• PA: Must possess current licensure to practice as a PA by the Maryland Board of Physicians. Board certified by the National Commission on Certification of Physician Assistants (NCCPA).
• RHIT/RHIA: Must possess certification through the American Health Information management Association and be a Certified Coding Specialist (CCS).
• Requires certification as a CCDS/CDIP or must acquire certification within 1 year of advancement to a CDS-II.

Education Requirement:

Requires successful completion of an accredited RN BSN program, or requires successful completion of an AMA approved Physician Assistant program or successful completion of the academic requirements or Health Information Technician - RHIT or Registered Health Information Administrator - RHIA certification accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM).

Skills and Years of Experience:

RN: Requires a minimum of 3 years Registered Nurse acute care M/S/M/S-Tele/PCU and/or ICU/IMCU/ED experience. Minimum of 2 years as a Clinical Documentation Specialist preferred

PA: Requires a minimum of 3 years Physician Assistant experience in a similarly complex acute care setting. Minimum of 2 years as a Clinical Documentation Specialist preferred

RHIT/RHIA: Requires minimum of 3 years with acute inpatient coding experience. Minimum of 2 years as a Clinical Documentation Specialist preferred

Important Notice: Authorization to Work in the United States: Applicants who require sponsorship now or in the future will not be considered for this position.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Important Notices:

***Effective January 1st 2022, you must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of your vaccination status as part of your new employee pre-boarding. Exceptions to the COVID-19 vaccination requirement may be granted for medical reasons and religious beliefs. Requests for medical exceptions must be submitted at your occupational health screening. In the wake of the COVID-19 pandemic, the Johns Hopkins Health System remains committed to providing the highest quality care for our patients and our communities.