Cedars-Sinai Clinical Documentation Specialist in Los Angeles, California
Performs record review 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. 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.
Minimum = High School Diploma/GED
Preferred = Bachelor's Degree in Nursing or Health Information Management; Foreign medical degree may be considered.
Minimum = 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
Preferred = Certified Clinical Documentation Specialist or CDIP, CCS
Minimum = 3 years Acute Care Experience
Preferred = Utilization Review, Coding, or Case Management experience
Frequent = Sit at a desk or table with some walking, standing, bending, stooping, or carrying of light objects.
Constant = Perform continuous operation of a personal computer for four hours or more; Use hands and fingers to handle and manipulate objects and/or operate equipment.
Rarely = Bend, crouch, stoop, stretch, or crawl. Bend upper torso and reach up and out with hands and arms. Perform unaided lifting of objects, please list the amount of weight that would be lifted, along with the frequency required.
Working Title: Clinical Documentation Specialist
Department: HI CDI/CORE Measures
Business Entity: Cedars-Sinai Medical Center
Job Category: Patient Financial Services
Job Specialty: Revenue Integrity
Position Type: Full-time
Shift Length: 8 hour shift
Shift Type: Day
Base Pay: $47.64 - $76.22
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.