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Clin Documentation Spec III - Remote

Role overview

Qualifications

  • 5 years minimum experience as Clinical Documentation Specialist in an acute setting
  • Registered Nurse, any state
  • BSN or higher preferred
  • CCDS or CDIP certification

Responsibilities

  • Ensure the overall quality and completeness of medical record documentation for all payor groups
  • Facilitate modifications to clinical documentation through interaction with physicians and nursing staff
  • Educate all members of the patient care team on documentation standards
  • Support timely, accurate, and complete documentation of clinical information

Key facts

Hard skills

Other skills

  • Communication
  • Teamwork
  • Social Skills
  • Physical Flexibility

About the company

Cooper University Health Care logo

Cooper University Health Care

Hospitals & Health Care

Cooper University Health Care is the leading academic health system in South Jersey and provides access to primary, specialty, tertiary, and urgent care, all within one complete health system. Cooper has more than 8,900 team members including 1,600 nurses, and 850+ physicians practicing in more than 75 specialties. Hospitals throughout the region send the most complex and critically ill and injured to Cooper for treatment by our highly skilled experts.

Company details

Company typeXLarge
IndustryHospitals & Health Care
Company size10001

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Job description

About Us:

Cooper Norcross Health, formerly Cooper University Health Care, is a leading academic health system affiliated with Cooper Norcross Medical School of Rowan University. Headquartered in Camden, New Jersey, Cooper Norcross Health has revenues of more than $3 billion and an A+ credit rating from both S&P and Fitch Ratings.

Cooper Norcross Health has nearly 14,000 team members, including more than 2,200 nurses, more than 1,200 employed physicians representing 95 specialties and subspecialties, and more than 700 advanced practice providers.

The health system operates MD Anderson Cancer Center at Cooper as well as four hospitals – its 663-bed flagship Cooper Norcross University Hospital in Camden, its 229-bed Cooper Norcross University Hospital Cape Regional in Cape May Court House,  Children’s Hospital at Cooper Norcross Health in Camden, and The Recovery Village Cherry Hill at Cooper, a substance abuse rehabilitation and inpatient treatment facility, in partnership with American Recovery Services.

Cooper Norcross University Hospital in Camden is the only Level 1 Trauma Center in South Jersey and the busiest in the region. The hospital has been recognized as a top-performing regional hospital by U.S. News & World Report’s Best Hospitals annual survey for eight years.

More than 2.54 million patients visit Cooper Norcross Health facilities annually. Its ambulatory network encompasses three outpatient surgery centers, seven urgent care centers, a wound care center, and more than 130 physician, physical therapy, and radiology offices extending from the Delaware River to the New Jersey shore.

Cooper Norcross Health, a not-for-profit health system, was named one of America’s Best Large Employers for 2026 by Forbes, ranking among the top 200 in the nation. Visit CooperHealth.org to learn more.

Short Description:

Responsible for ensuring the overall quality and completeness of medical record

     Documentation for all payor groups, all DRG’s, including MS, AP, and APR.

     Facilitates modifications to clinical documentation through concurrent interaction with

     physicians, nursing staff, other patient caregiver and Health Information coding staff to

     support that appropriate reimbursement and clinical severity is captured for the level of

     service rendered to all inpatients.

     Supports timely, accurate and complete documentation of clinical information used for

     measuring and reporting physician and hospital outcomes

     Educates all members of the patient care team on an ongoing basis, as needed.

     Professional team player, able to communicate well with others on all levels.

     Regular electronic contacts with other personnel throughout and outside the hospital

     Contacts may be in by telephone or through e-mail correspondence.

     Flexible with a working knowledge of all areas of adult medicine.

     Ability to sit for very long periods of time, manual dexterity and mobility for extensive use of

     computer screen, keyboard, copy and facsimile machines, reader/printer and other office

     equipment.

     Adequate to perform essential functions of the job with the type of judgments and potential

     consequences outlined above.

Experience Required:
  • EPIC EHR
  • Clintegrity CDE software
  • 5 years minimum experience as Clinical Documentation Specialist in an acute setting, preferably Level 1 Trauma Center. 
  • CDI Subject matter expert for ALL PAYORS, all DRG groups (MS-DRG, APR-DRG, AP-DRG)

PSI/HAC/HCC (Risk adjustment coding) knowledge/experience

Education Requirements:

Registered Nurse, any state.  BSN or higher preferred

License/Certification Requirements:
  • CCDS or CDIP
  • Registered Nurse, any state.  BSN or higher preferred
  • Coding certification:  CCS or CRC
Special Requirements:

This is a remote position.  You must self provide high speed internet access and a phone line.  Depending on shortages, you may be required to self-provide additional monitors (you will need to work on a minimum of 2 monitors).  This job does not require any travel.

Salary Min ($): USD $41.00 Salary Max ($): USD $70.00

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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