Clinical Documentation Auditor

The Clinical Documentation Auditor will identify areas of improvement to fully, compliantly, and accurately reflect patient acuity through DRG assignment, severity of illness, risk of mortality and risk adjustment factors via primarily in-depth retrospective (post-discharge, prebill) audit of the patient's clinical record and related findings and queries performed by the Clinical Documentation Specialists. The CD Auditor will review results with management making recommendations for developing educational and process improvement plans to achieve departmental objectives and goals. The focus of these audits will be related to overall team effectiveness and individual performance. The CDI Auditor is considered to be a subject matter expert regarding basic and intermediate CDI and coding concepts. CD Auditor works collaboratively with and provides feedback related to review findings for clinical documentation, clinical validation and query opportunities to multidisciplinary teams. The CDI Auditor will work closely with management to provide the status of reviews and propose topics for and clinical documentation improvement opportunity/education needed. This position serves as the liaison between the Medical Staff, Quality and Health Information. 

Qualifications

Medical school graduate (MD, MBBS), Foreign Medical Graduate or Registered Nurse (RN) and Certified Clinical Documentation Specialist (CCDS), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT). Bachelor's degree required. Seven to Ten years of work experience.  Strong analytic, organizational and time management skills. Strong computer skills, working with Microsoft Office. Critical thinking and multi-tasking. Medical Terminology. Strong communication skills necessary to work with physicians. 

About the team

St. Joseph’s University Medical Center is an academic tertiary care medical center and state designated trauma center, located on the Paterson campus, regularly accepts referrals of difficult or unusual cases from other hospitals and physicians and performs both complex and routine procedures. 

The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women’s health, imaging and pediatrics. 

The nursing team at St. Joseph’s University Medical Center, which includes St. Joseph’s Children’s Hospital, has held the Magnet Award for Nursing Excellence, the profession’s highest honor, since 1999. They are also recipients of the prestigious 2010 Magnet Prize™ - one of only 8 Magnet-designated hospitals to ever receive The Magnet Prize, and the only one worldwide to receive the 2010 award.

About the company

St. Joseph’s Health 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”.

Benefits Eligibility: (Full-time and Part-time Employees-over 20 hours a week)

• Competitive salary*
• Robust benefits with health, dental, Rx and vision plans
• 403b retirement plan options with company match**
• Health & Wellness*
• Non-Profit Health System – eligible for Federal Student Loan Forgiveness
• PTO, and paid holidays
• Tuition reimbursement
• Employee Assistance Program
• LTD : Long Term Disability
• Life Insurance Options
• Onsite Day care Program

*Available for Per Diem Employees and Part-time Employees working under 20 hours per week.

**403b Company Match not applicable for Per Diem Employees and Part-time Employees working under 20 hours per week.

Pay transparency:  St. Joseph’s Health provides a salary range to comply with New Jersey Law.  The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc.” The salary range does not include incentives, differential pay or other forms of compensation.