Updated 15 days ago

Clinical Documentation Specialist - HIM - Per Diem 8 Hour Days (Non-Exempt) (Non-Union)

Los Angeles, CA 90096
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$33.63 - $51.05
Full-time, Part-time
Clinical Documentation Specialist (CDS) performs review of inpatient medical records to identify documentation opportunities to accurately represent the severity of illness, risk of mortality, length of stay, intensity of service and hospital quality metrics. Improves the overall quality and completeness of clinical documentation by working closely with providers and the application of coding guidelines, evidence-based knowledge, analysis, in-depth review, interpretation, identification of opportunities, communication, and consistent follow-up and evaluation of concurrent and retrospective (as required) medical record documentation.

Minimum Education: • Graduate of an accredited school of registered nursing and/or foreign medical graduate. Minimum Experience/Knowledge: • Minimum of 2 years of clinical documentation improvement experience • Minimum of 3 years of clinical experience in an acute care setting • Demonstrates knowledge of ICD10-CM & PCS with respective coding guidelines & regulations for coding and reporting. • Proficient on Inpatient Prospective Payment System (IPPS) documentation requirements for proper APR and MS DRGs assignment. Required License/Certification: • Valid California Registered Nurse license and/or foreign medical graduate. (or valid state of residence Registered Nurse license for out-of-state employees [working remotely]) • Certified Clinical Documentation Specialist (CCDS from ACDIS) or Certified Documentation Improvement Practitioner (CDIP from AHIMA) required • Fire and Safety Certification. If no card upon hire, one must be obtained within 30 days of hire, and maintained by renewal before expiration date. (Not applicable to out-of-state employees [working remotely]).

REQ20087435 Posted Date: 10/28/2020

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