CLINICAL DOCUMENTATION SPECIALIST II

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Make It Happen at Hopkins | Join our TEAM!

The Clinical Documentation Special Project Team Member plays a pivotal role in advancing strategic initiatives to improve the quality, accuracy, and compliance of clinical documentation across the healthcare organization.

NOTE: This position will required a Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Integrity Practitioner (CDIP) certifications.

This role:

• Supports specialized projects to optimize documentation practices and EHR utilization.
• Collaborates with physicians, nurses, coders, IT staff, and CDE leadership to identify challenges and implement solutions.
• Conducts comprehensive reviews of clinical documentation to identify improvement opportunities.
• Provides education and precepting to staff/providers as needed.
• Collects, analyzes, and reports data to measure project outcomes and guide future improvements.
• Offers case review support during peak periods, staff absences, or large-scale events.
• Assists in developing coding policies and procedures to support workflow efficiency and compliance.
• Reports directly to the Manager.

Required Licensure/Certification

• All Candidates:




• Must maintain certification as Certified Clinical Documentation Specialist (CCDS via ACDIS) or Certified Documentation Integrity Practitioner (CDIP via AHIMA).




• RN/APRN:




• Current RN compact (multistate) license in state of residence.
• If compact not available, state-specific RN license required.




• Physician Assistant:




• Current PA license in state of residence.
• Board-certified by NCCPA.
• If compact not available, state-specific PA license required.




• RHIT/RHIA:




• Completion of academic requirements for RHIT or RHIA certification accredited by CAHIIM.
• Certification as Certified Coding Specialist (CCS) also required.

Education

Successful completion of one of the following is required:

• Nursing: Baccalaureate degree, Associate degree, or diploma in Nursing from an accredited school.
• Physician Assistant: AMA-approved Physician Assistant program.
• Health Information: Academic requirements for RHIT or RHIA certification accredited by CAHIIM.

Work Experience

• Registered Nurse (RN):




• Minimum 3 years of RN clinical experience in a complex acute care setting.
• Minimum 5 years as a Clinical Documentation Specialist preferred.
• Experienced in cardiac specialty, highly preferred
• In lieu of acute care: at least 6 years CDI experience or other relevant clinical background considered.




• Physician Assistant (PA):




• Minimum 3 years PA experience in a complex acute care setting.
• Minimum 5 years as a Clinical Documentation Specialist preferred.
• In lieu of acute care: at least 6 years CDI experience or other relevant clinical background considered.




• RHIT/RHIA:




• Minimum 3 years acute inpatient coding experience.
• Minimum 5 years as a Clinical Documentation Specialist preferred.
• In lieu of inpatient coding: at least 6 years CDI experience or other relevant clinical background considered.

What awaits you!

• Medical, Dental, Vision Insurance
• 403B Savings Plan w/employer contribution
• Paid Time off & Paid holidays
• Employee and Dependent Tuition assistance benefits
• Free Parking
• Refer a friend to Johns Hopkins, opportunity to earn $$$
• Health & Wellness programs and more!

For additional inquiries regarding this position, email: rhagg3@jh.edu

Salary Range: Minimum $/visit - Maximum $/visit. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.