Lead Clin Documentation Spec

This job is no longer active. View similar jobs.

POST DATE 3/26/2020
END DATE 4/2/2020

Hackensack Meridian Health Hackensack, NJ

Hackensack, NJ
AJE Ref #
Job Classification
Full Time
Job Type
Company Ref #
Entry Level (0 - 2 years)
Bachelors Degree



The Lead Clinical Documentation Specialist provide day-to-day oversight of Clinical Documentation Specialists at Care Site, conduct chart reviews functioning as a CDS and responsible for providing education to CDS and providers


Act as a CDI liaison for other Care Site disciplines to facilitate coordination and collaboration as needed to achieve goals (for example, Case Management, UR, Nursing, Wound Care, dieticians, etc.).

Assist with quality assurance activities for the Care Site and CDI department as directed by CDI Leadership. Audit work of CDSs for accuracy, productivity and quality standards. Proactively identify issues or trends, and propose solutions.

Communicate issues or concerns with site CDI operations to system CDI Leadership.

Arrange and deliver education for providers and care givers based on identified opportunities. Educational content is done through collaboration with System CDI Educator/Manager and Care Site CDI team.

Serve as a mentor and subject matter expert to new CDS associates.

Assist CDS Director in evaluation of care site CDSs participate in performance improvement/action plan activities as needed to assure all CDSs are meeting or exceeding performance expectations.

Work 50% of time as Clinical Documentation Specialist reviewing charts and work with providers for improved documentation unless approved otherwise by CDI Manager or Director.

Participate in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes and surgical techniques to support the effective application of coding guidelines to inpatient diagnoses and procedures.


* Bachelor s Degree in Nursing, Health Information Management, or related field.

* Ability to deal with conflicting interests and to resolve situations effectively.

* Ability to effectively communicate, both orally and in written form, with people at all levels of the organization, including Senior Leadership.

* Possess strong clinical and critical thinking skills.

* Proficient computer skills necessary in order to perform the tasks required, including intermediate knowledge of databases and spreadsheet applications (Excel).

Meridian Health is committed to the principles of equal employment opportunity and affirmative action and will not discriminate in the recruitment or employment practices on the basis of race, color, creed, national origin, ancestry, marital status, gender, age, religion, sexual orientation, gender identity/expression, disability, veteran status and any other category protected by federal or state law.