Clinical Documentation Specialist - 8 Hour Days | Cedars-Sinai Medical Center Job at Cedars-Sinai Medical Center, Pasadena, CA

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  • Cedars-Sinai Medical Center
  • Pasadena, CA

Job Description

Job Description

Align yourself with an organization that has a reputation for excellence. Cedars-Sinai was awarded the National Research Corporation???s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company???s Workplace of the Year. Cedars-Sinai offers an outstanding benefits' package that includes health care, paid time off and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America???s Best Hospitals.

What Will I be doing in this role?

The Clinical Documentation Specialist performs record review (quantitative and qualitative) and assesses the level of compliance with stated regulatory requirements by area of job focus. Assigns a working MS-DRG/APR-DRG. Assists in clarifying clinical information used for measuring and reporting physician and medical center outcomes which incorporates current DRG methodologies (e.g. MS-DRGs, etc.) by CMS and/or other regulatory/quality reporting bodies (e.g. APR-DRGs, SOI, ROM, etc). Issues queries to members of the patient care team ??? primarily physicians ??? regarding possible diagnoses or to improve the specificity of diagnoses thru enhanced clinical documentation. Facilitates modifications to clinical documentation as needed to support component stated previously. Leads or provides education/training to clinical care (physicians, nurses, etc.) and administrative support team members regarding the clinical documentation requirements essential for demonstrating quality patient care (SOI, ROM, etc.), the regulatory interpretation of outcomes for focused diagnoses, and their impact on reimbursement and quality reporting for the organization. Assists in developing educational materials as needed. Demonstrates knowledge of applicable regulatory standards/requirements by applying them accurately when providing guidance to customers. Accurately applies knowledge during record review activities. Supports ad-hoc reviews or data collection activities for focused or special research studies conducted within the organization.

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Qualifications

Requirements:

  • High School Diploma or GED required.
  • Bachelor's degree in Nursing, Health Information Management or a similar major preferred. A foreign Medical Degree may be considered.
  • RN State License - Current RN license (not limited to State of California) or higher clinical degree (i.e., MD), or Registered Health Info Admin, or Registered Health Info Tech required upon hire.
  • Clinical Documentation Improvement Professional (CDIP) or Certified clinical Documentation Specialist (CCS) preferred.
  • A minimum of 3 years of acute care experience required. A minimum of 3 years of experience in Utilization Review, Coding, or Case Management experience preferred.


Req ID : 5857

Working Title : Clinical Documentation Specialist - 8 Hour Days

Department : CSRC CDI Services

Business Entity : Cedars-Sinai Medical Center

Job Category : Patient Financial Services

Job Specialty : Revenue Integrity

Overtime Status : NONEXEMPT

Primary Shift : Day

Shift Duration : 8 hour

Base Pay : $49.04 - $78.46

About Cedars-Sinai Medical Center

Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major teaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competi ... tive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.

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Job Tags

Full time, Shift work,

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