St. Joseph’s Healthcare System is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation’s “100 Best Places to Work in Health Care”.
Responsible for reviewing medical record for completeness and accuracy for severity of illness (SOI) and quality using the Compliant Documentation Management Program (CDMP) documentation strategies. Reviews and recommends opportunities for documentation improvement. Requires extensive record review, interaction with physicians, Health Information Management professionals, Care Management, and nursing staff. Actively participation in team meetings and education of staff. Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes. Educates all members of the patient care team on an ongoing basis.
Work requires the knowledge of theories, principles and concepts normally acquired through completion of a Bachelor's degree in Nursing, Master's degree preferred OR completion of a Doctorate from a Medical or Osteopathic college. Five years of recent clinical experience in an acute, adult hospital with in-patient, medical/surgical, emergency room, and/or a critical care setting. CDI (Clinical Documetation Improvement) experience preferred. Licensure required as a Registered Nurse by the State of New Jersey OR licensure required as a Medical Doctor by the State of New Jersey. Excellent writing, speaking and communication skills. Ability to prioritize and manage multiple projects simultaneously. Ability to work effectively with a wide range of hospital, professional, corporate and community constituencies.