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HomeCompaniesErqh Fa Us2 Oraclecloud Com CX 1001Clinical Documentation Specialist

Clinical Documentation Specialist

Erqh Fa Us2 Oraclecloud Com CX 1001 · Summit, NJ, United States; 99 Beauvoir Ave, Summit, NJ, US · Remote · Active · Oracle Recruiting Cloud / Fusion HCM

Job facts

FieldValue
CompanyErqh Fa Us2 Oraclecloud Com CX 1001
TitleClinical Documentation Specialist
Normalized title-
Department / teamFinance/Accounting/Billing/PFS
LocationSummit, NJ, United States
Work modelRemote / Remote
Employment typeFull Time
Salary-
Statusactive
ATS providerOracle Recruiting Cloud / Fusion HCM
Posted / first seen2026-06-05 / 2026-06-06
Changed / last seen2026-06-06 / 2026-06-06

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Linked records

CompanyErqh Fa Us2 Oraclecloud Com CX 1001
Source020f7d17-ff81-4da5-9c68-de3db40ee449
ATS providerOracle Recruiting Cloud / Fusion HCM

Description

Description The Clinical Documentation Specialist facilitates updates to clinical documentation by collaborating with physicians and clinicians to accurately reflect severity, complications, and co-morbidities. Reviews and evaluates patient records for quality and completeness. Educates physicians, nonphysician clinicians, and coding staff on documentation, coding, reimbursement, and quality improvement opportunities. Identifies documentation-related quality of care issues and resolves them appropriately. Principal Accountabilities: 1. Review medical records to assign accurate DRG 2. Perform initial, concurrent, and retrospective reviews 3. Complete initial review within 24–48 hours of admission 4. Ensure SOI, ROM, and comorbidities are documented 5. Collaborate with coding staff for accurate documentation 6. Educate staff on documentation and coding guidelines 7. Train new C DS specialists, coders, physicians, residents 8. Share knowledge for ongoing team learning 9. Maintain compliance in chart reviews and queries 10. Support quality measures and system initiatives Qualifications Required: 1. Associates Degree in Nursing; 2. Bachelor of Science Nursing degree preferred 3. 5 years of Med/Surg acute care clinical experience required, experience in ICU strongly preferred 4. Registered licensed nurse (RN) required 5. Strong clinical knowledge in respiratory failure, sepsis, CHF, ATN/CKD, and complex pneumonias required 6. One-two years experience as CDI Specialists preferred 7. 3M Coding and Reimbursement and/or 360 Encompass preferred 8. Working knowledge of ICD-10 preferred 9. Epic experience preferred Preferred: 1. Ability to achieve cognitive, organizational and emotional maturity to deal effectively with multiple tasks, stresses, deadlines, difficult situations and/or customers. 2. Possesses interpersonal/communication skills necessary for effective, non-judgmental, and empathetic patient care and customer relations. 3. Open to feedback and open to a changing environment, which requires flexibility in scheduling and department assignments. Organization Atlantic Health System is at the forefront of medicine, setting standards for quality health care powered by a workforce of more than 18,000 team members and 4,800 affiliated physicians dedicated to building healthier communities, the system offers more than 400 sites of care, including eight award-winning medical centers. Specializing in cardiovascular care, cancer care, orthopedics, neuroscience, pediatrics, women's health and rehabilitation medicine. Atlantic Medical Group, comprised of 1,000 physicians and advanced practice providers, represents one of the largest multi-specialty practices in New Jersey and includes finance, legal, marketing, human resources, talent acquisition, ISS and more. Caring for our patients, our team members and the communities we serve is our central mission. Company At Atlantic Health, our promise to our communities is; Anyone who enters one of our facilities will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 22,000 team members. Headquarters in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include: Atlantic Health Morristown Medical Center, Morristown, NJ Atlantic Health Overlook Medical Center, Summit, NJ Atlantic Health Newton Medical Center, Newton, NJ Atlantic Health Chilton Medical Center, Pompton Plains, NJ Atlantic Health Hackettstown Medical Center, Hackettstown, NJ Atlantic Health Goryeb Children's Hospital, Morristown, NJ Atlantic Health CentraState Healthcare System, Freehold, NJ Atlantic Medical Group Atlantic Visiting Nurse Atlantic Mobile Health Atlantic Rehabilitation We have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades: Chosen for 17 years by Fortune as one of the magazine’s “100 Best Companies to Work For." Atlantic Health Morristown and Atlantic Health Overlook Named by Newsweek as two of the “World’s Best Hospitals” in 2026. Atlantic Health Morristown and Atlantic Health Overlook ranked within the top three hospitals in New Jersey by U.S. News & World Report’s 2025-2026 Best Hospital rankings. Atlantic Health scored four “A” grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents, injuries and injections, as well as systems hospitals have in place to prevent harm. Atlantic Health Morristown and Atlantic Health Overlook are New Jersey's only hospitals to be named among America's 50 Best hospitals by Healthgrades in 2026. Named by Becker's Healthcare as one of the "165 Top Places to Work in Healthcare – 2026. Atlantic Health Morristown, Atlantic Health Overlook, Atlantic Health Chilton and Atlantic Health Newton all Forbes Top Hospitals for 2026. Named by Newsweek as one of America’s Greatest Workplaces for Inclusion & Diversity 2025. Atlantic Health rated LEVEL 9 - 2025 CHIME Digital Health Most Wired. Atlantic Health offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted: Team Member Benefits Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members) Life & AD&D Insurance. Short-Term and Long-Term Disability (with options to supplement) 403(b) Retirement Plan: Employer match, additional non-elective contribution PTO & Paid Sick Leave Tuition Assistance, Advancement & Academic Advising Parental, Adoption, Surrogacy Leave Backup and On-Site Childcare Well-Being Rewards Employee Assistance Program (EAP) Fertility Benefits, Healthy Pregnancy Program Flexible Spending & Commuter Accounts Pet, Home & Auto, Identity Theft and Legal Insurance ____________________________________________ Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer. EEO STATEMENT Atlantic Health, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran

Full job record

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Source ID020f7d17-ff81-4da5-9c68-de3db40ee449
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Provideroracle_hcm
Provider Job Key29814
TitleClinical Documentation Specialist
Normalized Title
Statusactive
Activeyes
Location TextSummit, NJ, United States; 99 Beauvoir Ave, Summit, NJ, US
DepartmentFinance/Accounting/Billing/PFS
Team
Employment Typefull_time
Workplace Typeremote
Remote Policyremote
CountryUnited States
RegionNJ
CitySummit
Salary RawDescription The Clinical Documentation Specialist facilitates updates to clinical documentation by collaborating with physicians and clinicians to accurately reflect severity, complications, and co-morbidities. Reviews and evaluates patient records for quality and completeness. Educates physicians, nonphysician clinicians, and coding staff on documentation, coding, reimbursement, and quality improvement opportunities. Identifies documentation-related quality of care issues and resolves them appropriately. Principal Accountabilities: 1. Review medical records to assign accurate DRG 2. Perform initial, concurrent, and retrospective reviews 3. Complete initial review within 24–48 hours of admission 4. Ensure SOI, ROM, and comorbidities are documented 5. Collaborate with coding staff for accurate documentation 6. Educate staff on documentation and coding guidelines 7. Train new C DS specialists, coders, physicians, residents 8. Share knowledge for ongoing team learning 9. Maintain compliance in chart reviews and queries 10. Support quality measures and system initiatives Qualifications Required: 1. Associates Degree in Nursing; 2. Bachelor of Science Nursing degree preferred 3. 5 years of Med/Surg acute care clinical experience required, experience in ICU strongly preferred 4. Registered licensed nurse (RN) required 5. Strong clinical knowledge in respiratory failure, sepsis, CHF, ATN/CKD, and complex pneumonias required 6. One-two years experience as CDI Specialists preferred 7. 3M Coding and Reimbursement and/or 360 Encompass preferred 8. Working knowledge of ICD-10 preferred 9. Epic experience preferred Preferred: 1. Ability to achieve cognitive, organizational and emotional maturity to deal effectively with multiple tasks, stresses, deadlines, difficult situations and/or customers. 2. Possesses interpersonal/communication skills necessary for effective, non-judgmental, and empathetic patient care and customer relations. 3. Open to feedback and open to a changing environment, which requires flexibility in scheduling and department assignments. Organization Atlantic Health System is at the forefront of medicine, setting standards for quality health care powered by a workforce of more than 18,000 team members and 4,800 affiliated physicians dedicated to building healthier communities, the system offers more than 400 sites of care, including eight award-winning medical centers. Specializing in cardiovascular care, cancer care, orthopedics, neuroscience, pediatrics, women's health and rehabilitation medicine. Atlantic Medical Group, comprised of 1,000 physicians and advanced practice providers, represents one of the largest multi-specialty practices in New Jersey and includes finance, legal, marketing, human resources, talent acquisition, ISS and more. Caring for our patients, our team members and the communities we serve is our central mission. Company At Atlantic Health, our promise to our communities is; Anyone who enters one of our facilities will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 22,000 team members. Headquarters in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include: Atlantic Health Morristown Medical Center, Morristown, NJ Atlantic Health Overlook Medical Center, Summit, NJ Atlantic Health Newton Medical Center, Newton, NJ Atlantic Health Chilton Medical Center, Pompton Plains, NJ Atlantic Health Hackettstown Medical Center, Hackettstown, NJ Atlantic Health Goryeb Children's Hospital, Morristown, NJ Atlantic Health CentraState Healthcare System, Freehold, NJ Atlantic Medical Group Atlantic Visiting Nurse Atlantic Mobile Health Atlantic Rehabilitation We have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. We have received awards and recognition for the services we have provided to our patients, team members and communities. Below are just a few of our accolades: Chosen for 17 years by Fortune as one of the magazine’s “100 Best Companies to Work For." Atlantic Health Morristown and Atlantic Health Overlook Named by Newsweek as two of the “World’s Best Hospitals” in 2026. Atlantic Health Morristown and Atlantic Health Overlook ranked within the top three hospitals in New Jersey by U.S. News & World Report’s 2025-2026 Best Hospital rankings. Atlantic Health scored four “A” grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents, injuries and injections, as well as systems hospitals have in place to prevent harm. Atlantic Health Morristown and Atlantic Health Overlook are New Jersey's only hospitals to be named among America's 50 Best hospitals by Healthgrades in 2026. Named by Becker's Healthcare as one of the "165 Top Places to Work in Healthcare – 2026. Atlantic Health Morristown, Atlantic Health Overlook, Atlantic Health Chilton and Atlantic Health Newton all Forbes Top Hospitals for 2026. Named by Newsweek as one of America’s Greatest Workplaces for Inclusion & Diversity 2025. Atlantic Health rated LEVEL 9 - 2025 CHIME Digital Health Most Wired. Atlantic Health offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted: Team Member Benefits Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members) Life & AD&D Insurance. Short-Term and Long-Term Disability (with options to supplement) 403(b) Retirement Plan: Employer match, additional non-elective contribution PTO & Paid Sick Leave Tuition Assistance, Advancement & Academic Advising Parental, Adoption, Surrogacy Leave Backup and On-Site Childcare Well-Being Rewards Employee Assistance Program (EAP) Fertility Benefits, Healthy Pregnancy Program Flexible Spending & Commuter Accounts Pet, Home & Auto, Identity Theft and Legal Insurance ____________________________________________ Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer. EEO STATEMENT Atlantic Health, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran
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Source URLhttps://erqh.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1001/job/29814
Apply URLhttps://erqh.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1001/job/29814
First Seen At2026-06-06 11:10:32Z
Last Seen At2026-06-06 18:48:25Z
Last Checked At2026-06-06 18:48:25Z
Last Changed At2026-06-06 18:48:25Z
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Source Posted At2026-06-05 18:15:39Z
Source Updated At
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    "ExternalDescriptionStr": "<p>The Clinical Documentation Specialist facilitates updates to clinical documentation by collaborating with physicians and clinicians to accurately reflect severity, complications, and co-morbidities. Reviews and evaluates<br>patient records for quality and completeness. Educates physicians, nonphysician clinicians, and coding staff on documentation, coding, reimbursement, and quality improvement opportunities. Identifies documentation-related quality of care issues and resolves them appropriately.<br><br><br><strong><u>Principal Accountabilities:</u></strong><br>1. &nbsp; Review medical records to assign accurate DRG<br>2. &nbsp; Perform initial, concurrent, and retrospective reviews<br>3. &nbsp; Complete initial review within 24–48 hours of admission<br>4. &nbsp; Ensure SOI, ROM, and comorbidities are documented<br>5. &nbsp; Collaborate with coding staff for accurate documentation<br>6. &nbsp; Educate staff on documentation and coding guidelines<br>7. &nbsp; Train new C DS specialists, coders, physicians, residents<br>8. &nbsp; Share knowledge for ongoing team learning<br>9. &nbsp; Maintain compliance in chart reviews and queries<br>10. Support quality measures and system initiatives</p>",
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Our facilities and sites of care include:</p>\n <ul style=\"margin-top:8px\">\n  <li>Atlantic Health Morristown Medical Center, Morristown, NJ</li>\n  <li>Atlantic Health Overlook Medical Center, Summit, NJ</li>\n  <li>Atlantic Health Newton Medical Center, Newton, NJ</li>\n  <li>Atlantic Health Chilton Medical Center, Pompton Plains, NJ</li>\n  <li>Atlantic Health Hackettstown Medical Center, Hackettstown, NJ</li>\n  <li>Atlantic Health Goryeb Children's Hospital, Morristown, NJ</li>\n  <li>Atlantic Health CentraState Healthcare System, Freehold, NJ</li>\n  <li>Atlantic Medical Group</li>\n  <li>Atlantic Visiting Nurse</li>\n  <li>Atlantic Mobile Health</li>\n  <li>Atlantic Rehabilitation</li>\n </ul>\n <p>We have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group.</p>\n <p>We have received awards and recognition for&nbsp;the services we have provided to our patients, team members and communities. Below are just a few of our accolades:</p>\n <ul style=\"margin-top:8px\">\n  <li>Chosen for 17&nbsp;years by Fortune as one of the magazine’s&nbsp;“100 Best Companies to Work For.\"&nbsp;</li>\n  <li>Atlantic Health Morristown and Atlantic Health Overlook Named by Newsweek as two of the&nbsp;“World’s Best Hospitals”&nbsp;in 2026.</li>\n  <li>Atlantic Health Morristown and Atlantic Health Overlook ranked within the top three hospitals in New Jersey by U.S. News &amp; World Report’s 2025-2026 Best Hospital rankings.&nbsp;</li>\n  <li>Atlantic Health scored four&nbsp;“A”&nbsp;grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents,&nbsp;injuries&nbsp;and injections, as well as systems hospitals have in place to prevent harm.&nbsp;</li>\n  <li>Atlantic Health Morristown and Atlantic Health Overlook are New Jersey's only hospitals to be named among America's 50 Best hospitals by Healthgrades in 2026.</li>\n  <li>Named&nbsp;by Becker's Healthcare as one of the \"165 Top Places to Work in Healthcare – 2026.</li>\n  <li>Atlantic Health Morristown, Atlantic Health Overlook, Atlantic Health&nbsp;Chilton&nbsp;and Atlantic Health Newton all Forbes Top Hospitals for 2026.</li>\n  <li>Named by Newsweek as one of America’s Greatest Workplaces for Inclusion &amp; Diversity 2025.</li>\n  <li>Atlantic Health rated LEVEL 9 - 2025 CHIME Digital Health Most Wired.&nbsp;</li>\n </ul>\n <p>Atlantic Health offers a competitive and comprehensive Total Rewards package&nbsp;that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:</p>\n <p>&nbsp;</p>\n <p>Team Member Benefits</p>\n <ul style=\"margin-top:0in\">\n  <li>Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)</li>\n  <li>Life &amp; AD&amp;D Insurance.</li>\n  <li>Short-Term and Long-Term Disability (with options to supplement)</li>\n  <li>403(b) Retirement Plan: Employer match, additional non-elective contribution</li>\n  <li>PTO &amp; Paid Sick Leave</li>\n  <li>Tuition Assistance, Advancement &amp; Academic Advising</li>\n  <li>Parental, Adoption, Surrogacy Leave</li>\n  <li>Backup and On-Site Childcare</li>\n  <li>Well-Being Rewards</li>\n  <li>Employee Assistance Program (EAP)</li>\n  <li>Fertility Benefits, Healthy Pregnancy Program</li>\n  <li>Flexible Spending &amp; Commuter Accounts</li>\n  <li>Pet, Home &amp; Auto, Identity Theft and Legal Insurance</li>\n </ul>\n <p>____________________________________________</p>\n <p>Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.</p>\n <p>&nbsp;</p>\n <p>EEO STATEMENT</p>\n <p>&nbsp;</p>\n <p>Atlantic Health, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran&nbsp;</p>\n <p>&nbsp;</p>\n <br>\n</div>",
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