University of Rochester Veterans Jobs

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University of Rochester Clinical Documentation Specialist - 234126 in Rochester, New York

Clinical Documentation Specialist Job ID 234126

Location Strong Memorial Hospital Full/Part Time Full-Time Favorite Job Regular/Temporary Regular Opening

Full Time 40 hours Grade 044 Utilization Management


8 AM-4:30 PM


Clinical Documentation Specialist Job Description:

The Clinical Documentation Specialist (CDS) RN facilitates clinical documentation improvement through concurrent and retrospective review of the medical record. The CDS works collaboratively with attending physicians and Health Information Management to ensure that gaps in documentation are identified and clarified for each patient encounter, thus ensuring the quality and integrity of the patient’s medical record. The interaction supports the clinical severity of the inpatient admission, quality documentation standards that align with federal and state regulations, and assists with maximizing revenue.


Licensed RN and minimum of 5 years inpatient clinical experience which includes advanced clinical expertise and extensive knowledge of complex disease processes. BSN preferred. If not obtained prior to hire, Clinical Documentation Specialist (CDS) or Clinical Documentation Improvement Practitioner (CDIP) certification required to be started following 2 years in role and completed within 12 months thereafter.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled