Johns Hopkins Medicine · 19 hours ago
Clinical Documentation Specialist
DC-Baltimore Area
Full-time
Onsite
Mid Level
3+ years expJohns Hopkins Medicine is a leading healthcare institution, and they are seeking a Clinical Documentation Specialist. This role is responsible for improving the quality and completeness of medical record documentation to ensure accurate coding and reporting of metrics, collaborating with physicians and coding professionals.
Health CareHealth DiagnosticsHospitalMedicalTraining
Responsibilities
Facilitates the improvement in the overall quality and completeness of concurrent medical record documentation
Helps achieve accurate inpatient coding, APR-DRG assignment and severity and risk of mortality levels
Obtains appropriate documentation through interactions with physicians and staff
Responsible for medical record review
Collaboration with professional inpatient coding professionals
Reconciliations of assigned cases
Accurate reporting of CDI program metrics
Additional responsibilities as assigned
Qualification
Required
Baccalaureate degree, or associates degree, or diploma in nursing from an accredited school of Nursing
Successful completion of an AMA approved Physician Assistant program
Successful completion of the academic requirements of Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) certification accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM)
Must possess a current RN compact (multi-state) license in the state in which you reside
If your state or the Johns Hopkins Health System location in which you are assigned does not participate in the Nurse Licensure compact, an RN license for that state in which you are assigned will be required
Must possess current licensure to practice as a Physician Assistant (PA) in the state in which you reside and be board-certified by the National Commission on Certification of Physician Assistants (NCCPA)
If your state of the Johns Hopkins Health System location in which you are assigned does not participate in the PA Licensure Compact, a license for the state in which you are assigned will be required
Requires successful completion of the academic requirements for the Registered Health Information Technician (RHIT) certification or Registered Health Information Administrator (RHIA) certification accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) and be a Certified Coding Specialist (CCS)
Requires a minimum of 3 years Registered Nurse clinical experience in similarly complex acute care setting
In lieu of complex acute care experience, a minimum of 3 years of CDI experience, and/or other relevant clinical experience may be considered
Requires a minimum of 3 years Physician Assistant experience in a similarly complex acute care setting
In lieu of complex acute care experience, a minimum of 3 years of CDI experience, and/or other relevant clinical experience may be considered
Requires minimum of 3 years with acute inpatient coding experience
In lieu of acute inpatient coding experience, a minimum of 3 years of CDI experience, and/or relevant clinical experience may be considered
Benefits
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!
Company
Johns Hopkins Medicine
Johns Hopkins Medicine specializes in medical education, research, and clinical care.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$200MKey Investors
United States Agency for International Development
2022-08-04Grant· $200M
Leadership Team
Heather Lowe
Executive Speechwriter to the Dean and CEO
Theodore DeWeese
Interim Dean of the Medical Faculty and CEO of Johns Hopkins Medicine
Recent News
2026-01-06
2026-01-03
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