Job Information
Johns Hopkins Medicine Clinical Documentation Specialist in Bethesda, Maryland
Clinical Documentation Specialist
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Suburban Hospital,
Bethesda, MD
Requisition # 156320
Day Shift
Full Time (40 hours)
Weekend Work Not Required
Suburban Hospital is part of the prestigious Johns Hopkins Health System that employs more than 20,000 people. Upon joining Johns Hopkins, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Johns Hopkins career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations, and the health insurance industry.
We offer a competitive total compensation package, are located just outside of the D.C. metro area, and have diversely growing opportunities to advance your career.
Suburban Hospital, Johns Hopkins Medicine is currently seeking a Clinical Documentation Specialist to work in the Clinical Documentation Improvement Department.
Job Summary:
Responsible for facilitating improvement in inpatient clinical documentation through concurrent review of the medical record for accurate physician documentation of principal and secondary diagnoses based on clinical evidence present in the chart, application of official ICD-9 CM coding guidelines, and interaction with physicians and other clinicians.
Identifies opportunities for improvement in clinical documentation and queries the physician for clarification to support more specific diagnoses.
Educational Requirements:
Graduate of an accredited school of nursing
Bachelors in Nursing required with current RN licensure in the State of Maryland
Experience:
Minimum of five years of current clinical experience in an acute care setting
Previous experience with clinical documentation improvement activities and case management desirable
Hours:
Full Time, 40 hours per week
Mon. - Fri., Day Shift
Johns Hopkins Health System and its affiliates are Equal Opportunity/Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity,sex, age, national origin, disability, protected veteran status, and or any other status protected by federal, state, or local law.