Job Details: Clinical Documentation Spec

Company: Loma Linda University Adventist Health Sciences Center – For over 100 years, Loma Linda University Adventist Health Sciences Center has been making man whole by combining the healing power of faith with the practices of modern medicine.

Description: Many Strengths. One Mission.
For over 100 years, Loma Linda University Adventist Health Sciences Center has been making man whole by combining the healing power of faith with the practices of modern medicine.
Department: Clinical Documentation Improve
Schedule: Full-Time
Salary Range: LLS390: $ 2865.60 - $ 3668.80 Bi-Weekly
Shift: AM
Hours: 80 hrs per payperiod
Job Details: - Associates Degree

Job Summary: The Clinical Documentation Specialist facilitates improvement in the overall quality, completeness and accuracy of medical record documentation. Works in tandem with physicians, nurses, case managers, other healthcare providers, coders/Health Information Management, and compliance staff to ensure documentation clearly reflects clinical condition of patient and complies with regulatory requirements for coding and billing. Maintains extensive knowledge in Medicare Severity DRGs (MS-DRGs) and firmly understands their relationship to clinical documentation improvement opportunities. Understands the requirements to properly report the new present on admission indicators and shares knowledge with healthcare providers. Utilizes strong interpersonal skills and creates the foundation for success and partnership to achieve the goals of accurate documentation and continuous learning. The CDS provides on-going education for all members of the healthcare team. Performs other duties as needed.

Job Specifications: Graduate of an accredited School of Nursing: Associate Degree or Diploma Degree Nurse, a baccalaureate degree in Nursing preferred. Experience will be accepted in lieu of degree. Three years of critical care, ED or medical/surgical experience required. Preferred candidates will possess: excellent communication skills; previous experience as utilization reviewer/case manager with knowledge of third party reimbursement requirements; experience with diagnosis and procedure coding; working knowledge of the reimbursement cycle and DRGs; knowledge of severity of illness and intensity of service criteria; experience in education and mentoring staff. Active license in the State of California as Registered Nurse.
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Posting Date: Aug 20 08