CLIN DOCUMENTATION SPEC III - REMOTE

About Cooper University Health Care

Cooper University Health Care is a leading academic health system affiliated with Cooper Medical School of Rowan University. Cooper, headquartered in Camden, New Jersey, has revenues of more than $3 billion and an A+ credit rating from both S&P and Fitch Ratings.

Cooper has nearly 14,000 team members, including more than 2,200 nurses, more than 1,200 employed physicians representing 95 specialties and subspecialties, and more than 700 advanced practice providers.

Cooper operates MD Anderson Cancer Center at Cooper as well as three hospitals - its 663-bed flagship Cooper University Hospital in Camden, its 229-bed Cooper University Hospital Cape Regional in Cape May Court House, and Children's Regional Hospital in Camden.

Cooper University Hospital in Camden is the only Level 1 trauma center in South Jersey and the busiest in the region. The hospital has been recognized as a top-performing regional hospital by U.S. News & World Report's Best Hospitals annual survey for six years.

More than 2.54 million patients visit Cooper's facilities annually. Cooper's ambulatory network encompasses three outpatient surgery centers, seven urgent care centers, a wound care center, and more than 130 physician, physical therapy, and radiology offices extending from the Delaware River to the New Jersey shore.

Cooper was named one of America's Best Large Employers for 2026 by Forbes, ranking among the top 200 in the nation.

Visit CooperHealth.org (opens in new window) to learn more.

• Responsible for ensuring the overall quality and completeness of medical record documentation.
• Facilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregiver and Health Information coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients.
• Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes.
• Educates all members of the patient care team on an ongoing basis.
• Professional team player, able to communicate well with others on all levels.
• Regular significant contacts with other personnel throughout and outside the hospital.
• Contacts may be in person, by telephone or-through correspondence.
• Flexible with a working knowledge of all areas of adult medicine.
• Occasional lifting/carrying up to fifteen pounds, as well as reaching, stretching, stooping, bending, kneeling, crouching, standing, walking and pushing/pulling to move and file medical records alone or in carts.
• Ability to sit for long periods of time, manual dexterity and mobility for extensive use of computer screen, keyboard, copy and facsimile machines, reader/printer and other office equipment.
• Adequate to perform essential functions of the job with the type of judgments and potential consequences outlined above.

• EPIC EHR
• CDE ONE, Solventum
• 5 years minimum experience as Clinical Documentation Specialist in an acute setting, preferably Level 1 Trauma Center.
• CDI Subject matter expert for ALL PAYORS, all DRG groups (MS-DRG, APR-DRG, AP-DRG Elixhauser, risk variables)
• PSI/HAC/HCC (Risk adjustment coding) knowledge/experience and Vizient Calculator

Registered Nurse, any state. BSN or higher preferred.

• CCDS or CDIP
• Registered Nurse, any state. BSN or higher preferred
• Coding certification: CCS or CRC; CIC is an acceptable equivalent

Essential mental abilities: excellent critical thinking skills, able to assess, evaluate and teach. Must be self governed, disciplined, and organized.

Requires excellent work ethic, analytical thinking, problem solving, excellent computer skills, excellent verbal and written communication with knowledge of email etiquette. Must be proficient in Word, Excel, PowerPoint and typing (60 WPM)

The New Jersey Pay Transparency Act requires disclosure of the pay range for this position.

A salary offer will vary based on the job role, candidate experience, qualifications, internal pay equity and market data.

Cooper University Health Care is an Equal Opportunity Employer and is committed to equal employment opportunity for all team members. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, or any other status protected by law or regulation. To request reasonable accommodation, contact talent-acquisition@cooperhealth.edu