RN Clinical Document Improvement Specialist

Position OverviewFacilitates improvement in the quality, completeness, and accuracy of clinical documentation. Obtains appropriate clinical documentation through extensive interaction with physicians, nursing and other patient care givers and the Health Information Management coding staff to ensure that the complete and accurate level of services provided is documented and that appropriate reimbursement is received for patients with a DRG, MS-DRG, APR or All-Payer based grouper. Educates members of the patient care team on documentation guidelines on an ongoing basis. Works closely with coding manager.

Primary Department, Division, or Unit:

Clinical Documentation Improvement, UHS Revenue Cycle Operations

Work Shift and Schedule:

This is a per diem position, which means you will work on an as needed, agreed upon basis. Working hours will be assigned by your manager.

Compensation Range:

$33.63 - $50.45 per hour, depending on experience

This position is not eligible for benefits.

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Education/Experience

Minimum Required:

• Associate’s Degree in Nursing (ASN) or Nursing Diploma.

Preferred:

• Bachelor’s Degree in Nursing (BSN).
• Working knowledge of encoding system and Excel.
• Previous Coding experience.

License/Certification

Minimum Required:

• Valid NYS RN licensure or eligible.

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About United Health Services

United Health Services (UHS) is a locally owned, not-for-profit healthcare system in New York’s Southern Tier comprising four hospitals, long-term care and home care services, and physician practices in Broome and surrounding counties. UHS provides healthcare and medical services for two-thirds of the region’s population, produces $1.3 billion a year in total economic impact, and boasts a workforce of more than 6,300 employees and providers. 

At UHS, our work is guided by our Values of Compassion, Trust, Respect, Teamwork, and Innovation. Whether you provide direct patient care or support behind the scenes, you are part of a shared purpose: to improve the health and well-being of the communities we serve. Every employee plays a meaningful role in fulfilling our mission—we’d love for you to consider joining us!

 

United Health Services is an Equal Opportunity Employer.