Clinical Documentation Specialist II - 8 Hour Days **HYBRID**

Job Description

The Clinical Documentation Specialist (CDS) II is a more experienced CDS, spending at least 75% of their time on independent reviews without supervision, creating queries, and facilitating their follow-up. Level 2 specialists create trend reports to provide insights into documentation practices and engage directly with physicians to manage queries. They spend 25% of their time mentoring the CDS I and providing feedback to leadership.

Qualifications

Education:

• High school diploma or GED required
• Bachelor's Degree in Nursing or other advanced health care field preferred
• Foreign trained MDs will be considered

License/Certifications:

• Registered Nurse, LVN, Occupational Therapist, Physical Therapist, Physician Assistant, foreign MD license or certification in Health Information Management or Medical Coding, such as RHIT, RHIA, CCDS, CDIP OR CPC, required

Experience:

• A minimum of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required
• Working knowledge of Joint Commission standards and regulatory requirements required
• Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes required
• Solid computer proficiency required