Documentation Specialist jobs in New York

S
Documentation Specialist
  • St. John's Riverside Hospital
  • Yonkers, NY PART_TIME
  • Overview

    St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations.

     

    St. John’s has been an integral part of the community since the 1890's and its’ commitment to provide the community with the most advanced medical services available continues to be the hospitals’ vision, mission and value. St. John's Riverside Hospital built itself around an early foundation of nursing and community service. In 1894, the Cochran School of Nursing, the oldest hospital-based school of nursing in the metropolitan area, was founded, thus making the St. John's Nursing Staff more than just the backbone of the hospital, but the heart and soul. St. John’s dedicated nurses give superior attention to those who need it most with a strong emphasis on patient and family-focused nursing care.

     

    St. John’s Riverside Hospital staff is committed to making life better for all patients. The hospital continues to elevate the services provided with the goal of increasing the quality of life for all who entrust St. John's Riverside Hospital to their care.

     

    Personalized care together with advanced technology is what it means to be Community Strong

    Responsibilities

    The Clinical Documentation Specialist is a Registered Professional Nurse responsible and accountable for the review of clinical documentation to assure it meets hospital requirements. Demonstrates knowledge of nursing theory, practice and leadership ability. Plans, organizes, coordinates and evaluates the quality of clinical documentation and works collaboratively with Medical and Hospital staff to assure compliance.

    Reviews inpatient medical records for identified payer population (Medicare, Medicaid, Blue Cross/Blue Shield) as directed on admission and throughout hospitalization. Analyzes clinical status of patient, current treatment plan and past medical history and identifies potential gaps in physician documentation. Communicates with attending physician either verbally or through written methodology to validate observations and suggest additional and/or more specific documentation. Works closely with HIS coding staff to assure documentation of discharge diagnosis(es) and any co-existing co-morbidities are a complete reflection of the patient’s clinical status and care. Demonstrates basic knowledge about HIS standards of coding and applies to ongoing evaluation of medical record documentation. Consistently meets established productivity targets for record review. In collaboration with physician leadership, designs and implements specific tools to support medical record physician documentation. Develops and implements plans for both formal and informal education of physician, nursing and other clinical staff. Identifies strategies for sustained work process changes that facilitate complete, accurate clinical documentation. Maintains good rapport and cooperative relationships. Approaches conflict in a constructive manner. Helps identify problems, offers solutions and participates in their resolution. Maintains the confidentiality of information acquired pertaining to patient, physicians, associates and visitors to hospital. Discusses patient and hospital information only among appropriate personnel in appropriately private places.

     

    Qualifications

    Licensed and currently registered under the laws of the State New York. Minimum of five (5) years experience in adult inpatient medical/surgical or critical care or case management. BSN, MSN preferred degree or national professional certification preferred. Possesses well-developed and effective interpersonal skills and is able to communicate effectively verbally and in writing to influence physician documentation processes. Demonstrates nursing skill competencies and critical thinking. Possesses analytic skills necessary to clinically assess medical records. Demonstrates confidence in actions and exercises good judgment. Demonstrates competency skills in word processing and spread sheets utilization. Displays leadership ability and the willingness to assume authority and accountability for role functions. Possesses the ability to plan, organize, develop and implement goals, objectives, policies and procedures necessary for quality care. Demonstrates ability to recognize problems, approach them in an objective manner, reach appropriate solutions, implement them and evaluate for effectiveness. Embraces and adapts to change. Other related duties as assigned. CDI experience preferred.

  • 23 Days Ago

E
Documentation Specialist
  • ECI Software Solutions Career
  • Latham, NY FULL_TIME
  • ECI Software Solutions is looking for a Documentation Specialist who is a highly motivated self-starter capable of working independently to document a Lumber, Building Materials, and Hardware-specific...
  • Just Posted

M
Documentation Specialist
  • MMC
  • Albany, NY FULL_TIME
  • MMC is seeking a detail-oriented Document Specialist to join our team. As a Document Specialist, you will be responsible for creating procedure and training manuals as well as revising existing proced...
  • Just Posted

P
Documentation Specialist
  • Polaris Healthcare
  • Rockland, NY FULL_TIME
  • Full time $20-25 based on experience. I recommend looking for someone who has experience with clinical notetaking. Someone with a case management or social work background preferred. Basic job descrip...
  • 10 Days Ago

A
Documentation Specialist
  • Abe's Vegan Muffins
  • West Nyack, NY FULL_TIME
  • About Abe's Vegan Muffins Abe's Vegan Muffins is the #1 best-selling brand of vegan and allergy-friendly baked goods in the U.S. The real Abe was born with a serious food allergy to peanuts, tree nuts...
  • 13 Days Ago

A
Loan Administration Documentation Specialist
  • Adirondack Bank
  • Utica, NY FULL_TIME
  • Responsible for preparing closing documents for Commercial Loans in accordance with the Bank’s lending policies, procedures, regulatory compliance and secondary market requirements. Verify accurate an...
  • 19 Days Ago

E
Document Specialist
  • Exela Technologies
  • Palmer, AK
  • Position: Courthouse Document Support Specialist Position Type: Part Time – Regular Weekly per hours : 20hrs/week Shift ...
  • 3/28/2024 12:00:00 AM

E
Documentation Specialist Sr.
  • Experis
  • Lake Forest, IL
  • Our client is seeking a Document Specialist to join their team. Job Title: Document Specialist Location: Lake Forest, IL...
  • 3/28/2024 12:00:00 AM

P
Document Specialist
  • Perfect Path, LLC, d/b/a Trajector Services
  • American Fork, UT
  • Overview: One Trajector. One Mission. Trajector is where purpose meets progress. We specialize in developing medical evi...
  • 3/28/2024 12:00:00 AM

C
Documentation Specialist
  • Collabera
  • Des Moines, IA
  • Job Description Job Description Note: The position is Onsite. (No work from home) Must have Loans related experience. Po...
  • 3/28/2024 12:00:00 AM

C
Documentation Specialist
  • C&C Metals Engineering Inc.
  • West Boylston, MA
  • Job Description Job Description At CCME, high tolerance manufacturing or machining of high-temperature alloys is our whe...
  • 3/27/2024 12:00:00 AM

A
Documentation Specialist
  • Acutec Precision Aerospace Inc
  • Meadville, PA
  • Confirm revision levels and certifications are the most recent release. Correlate inspection documentation material prio...
  • 3/27/2024 12:00:00 AM

R
Document Specialist
  • Ricoh Americas Corporation
  • Mason, OH
  • Ensures and maintains customer satisfaction according to company standards of quality and output by prepping, scanning, ...
  • 3/27/2024 12:00:00 AM

S
Clinical Documentation Specialist
  • Sanford Health
  • Fargo, ND
  • Create Your Career With Us! Sanford Health is one of the largest and fastest-growing not-for-profit health systems in th...
  • 3/25/2024 12:00:00 AM

New York is a state in the Northeastern United States. New York was one of the original thirteen colonies that formed the United States. New York covers 54,555 square miles (141,300 km2) and ranks as the 27th largest state by size.[3] The highest elevation in New York is Mount Marcy in the Adirondacks, at 5,344 feet (1,629 meters) above sea level; while the state's lowest point is at sea level, on the Atlantic Ocean. In contrast with New York City's urban landscape, the vast majority of the state's geographic area is dominated by meadows, forests, rivers, farms, mountains, and lakes. Most of...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Documentation Specialist jobs
$45,768 to $64,465

Documentation Specialist in Youngsville, LA
Create and/or prepare required documentation for distribution, including but not limited to, Material Test Reports (MTR), Certificates of Conformance (C of C), Data Books, Vendor Data Requirements (VDR), and Supplier Data Requirements (SDR).
February 16, 2023
Documentation Specialist in Yonkers, NY
Demonstrates ability to recognize problems, approach them in an objective manner, reach appropriate solutions, implement them and evaluate for effectiveness.
May 14, 2023
Communicates with attending physician either verbally or through written methodology to validate observations and suggest additional and/or more specific documentation.
April 07, 2023
Documentation Specialist in Washington, DC
Gather, analyze, and compose technical information.
March 11, 2023