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Job Title: Clinical Documentation Info Spec.

Company: MidHudson Valley Staffco, LLC

City/State: Poughkeepsie, NY

Category: Clerical/Administrative Support

Department: Health Info Mgmt

Position: Full Time

Hours: M-F 9-5

Shift: Day

Req #: 23855

Job Details:

The CDIS will focus on improving the clinic clarity of the health record. Will become an important vehicle bridging the gap between the clinical documentation contained in the health record and the resulting clinical and claims data utilized for reimbursement, research, and outcome management.

Experience:

Two (2) years coding experience or five (5) years of nursing experience preferred. Strong clinical skills, ability to interpret clinical indicators found in tests results, recognize/understand disease processes, and identify therapeutic diagnostic orders that demonstrate attention to undocumented conditions. Education and Training: Associate of Science in nursing or Bachelor of Science in Nursing (preferred). License, Certification and Registration: Current NYS Registered Nurse, clinical certification in association with coding. Other Requirements: Knowledge of 3M coding software, and Meditech application.