Top 12 Clinical documentation specialist Jobs in Hemet, Ca

CDIS - Clinical Doc Improvement Specialist - Hemet, CA
KPC GLOBAL MEDICAL CENTERS INC. —Hemet, CA
- $44 - $68 an hour
- Full-time
- LVN
- RN License
- Office
Quick Apply
Per Diem Clinical Research Nurse - Home Visits
Science 37 —Temecula, CA
- $50 - $55 an hour
- Nights as needed
- Nursing
- RN License
- BLS Certification
Senior Data Extraction Specialist
FFF Enterprises —Temecula, CA
- $68,000 - $75,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Profit sharing
- Health savings account
Certified Medical Records Coder-Inpatient (Riverside)
County of Riverside —Riverside, CA
- $70,044.85 - $104,320.89 a year
- Weekends as needed
- Hybrid work
- Background check
- Anatomy knowledge
- Mid-level
- Paid holidays
- Disability insurance
Certified Medical Records Coder-Outpatient (Swing/Weekend)
County of Riverside —Riverside, CA
- $64,311.76 - $95,813.52 a year
- Weekends as needed
- Background check
- Anatomy knowledge
- Mid-level
- Paid holidays
- Disability insurance
Clinical Trial Psych Rater - German Speaking
IQVIA —Moreno Valley, CA
- Part-time
- Remote
- Nursing
- Medicine
- Psychiatry
- Work from home
Staff RN - ECMO Spec / FT, nights
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule
Travel IMC RN Job in Birmingham, Alabama
GIFTED Healthcare —United States
- $2,071.19 - $2,122.06 a week
- Overtime
- Nursing
- Medication administration
- RN License
- Health insurance
- Dental insurance
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Certified Medical Records Coder-Outpatient (Swing/Weekend)
County of Riverside —Riverside, CA
License/Certificate: Possession of current valid certification as a Certified Coding Specialist (CCS); or Certified Coding Specialist-Physician based (CCS-P);…
$64,311.76 - $95,813.52 a year
Intake Triager
AmeriPharma —Laguna Hills, CA
The Intake Triager position is responsible for reviewing, validating, and processing incoming referral documentation to ensure completeness, accuracy, and…
$23 - $25 an hour
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Documentation and Reimbursement Specialist
Nationwide Children's Hospital —Columbus, OH
Five years of experience in related field (physician billing experience), preferred. As required by listed licensure and/or certification requirement.
Research Assistant
OhioHealth —Columbus, OH
Manages complex administrative tasks in support of research administration and clinical trials, including but not limited to screening patients, entering/…

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CDIS - Clinical Doc Improvement Specialist - Hemet, CA

KPC GLOBAL MEDICAL CENTERS INC. -
Hemet, CA

Quick Apply

Job Details

Full-time
$44 - $68 an hour

Qualifications

Medicare regulations
Continuous improvement
Computer skills
Clinical documentation improvement

Full Job Description

Location: Central Business Office
Job Title: Clinical Documentation Specialist (CDS)/Coder III
Department: Health Information Management
Reports to: Director OF Coding and CDI operations
Completion Date:
SUMMARY
The Clinical Documentation Specialist (CDS)/Coder III is responsible conducting clinically based concurrent and retrospective reviews of inpatient medical
records. This review is to evaluate that the clinical documentation is reflective of quality of care outcomes and reimbursement compliance for acute care
services provided. The CDS will work closely with the medical staff to facilitate appropriate clinical documentation of patient care. The CDS/Coder III abstracts
and codes the diagnostic and procedural information for Inpatient Services and Surgery medical records utilizing the current version of International
Classifications of Diseases in accordance with regulatory agencies and hospital specific guidelines. The CDS/Coder III enters the coded data and other
abstracted data from the medical record into the electronic information system. This position assumes primary responsibility for clarifying ambiguous
documentation, DRG optimization with the primary role in assisting medical staff members with improving quality of documentation and serves as a mentor to
all level of Coders and CDIs. Participates in chart review projects as assigned.
REQUIREMENTS
RESPONSIBILITIES AND DUTIES:

Understands and is able to incorporate hospital philosophies into the department’s operational plan and goals and assures staff members

understand philosophies.

Demonstrates expertise in the clinical documentation, serving as a resource, and participates in problem-solving opportunities.
Contributes ongoing department information, sharing and promoting knowledge and skill development.
Comprehends and adheres to industry standards and regulatory requirements: including, but not limited to, TJC, HFAP, CMS, Title XXII,

HIPAA, medical staff regulations, and hospital policies.

Demonstrates knowledge of resource management plans in an effort to decrease resource consumption, while adequately maintaining

effective operations.

Demonstrates working knowledge of information systems related to job duties.
Possesses an awareness of reimbursement processes, including how different payers use the coded data to determine reimbursement.

Aware of Medicare reimbursement methodology for inpatient services as it pertains to clinical documentation and coding.

Possesses an awareness of hospital processes, understanding inter-department relationships, promoting collaborative effort and

consideration prior to instituting changes, deletions or additions of processes.

Proficiency in utilization of computer-based tools in retrieving and maintaining inpatient census data, coding and audit tracking.
Reviews inpatient medical records for identified payer populations as directed on admission and throughout hospitalization. Analyzes clinical

status of patient, current treatment plan and past medical history and identifies potential gaps in physician documentation.

Ensures that clinical documentation reflects the level of service rendered to patients is complete, accurate and compliant with the regulations

of the Center for Medicare and Medicaid Services.

Utilizes both clinical and coding knowledge to obtain appropriate documentation through extensive interaction with physicians, nursing, other

patient caregivers and Health Information Management staff.

Performs initial inpatient charts reviews for documentation of inpatient admission criteria and assign working DRG within 48 hours of

admission, on the working days.

Manages the concurrent medical record review for clinical documentation improvement throughout the hospital stay. Identifies physician

documentation issues/omissions/discrepancies and assists physicians with improving documentation in the medical record.

Regularly participates in scheduled case management and hospitalist meetings and actively exchanges information pertaining to clinical

documentation to support intensity of services and level of acuity of the patient.

Other duties as needed.

EDUCATION & EXPERIENCE REQUIREMENTS:

Medical Graduate, PA, RN, LVN, RHIT or CCS with current valid license/certification and relevant education.
CCS Certification preferred
CDIP and/or CCDS Certification preferred

SKILLS & ABILITIES REQUIREMENTS:

Ability to describe a quality improvement in problem solving process and how its use assists in reaching improving clinical documentation

and/or organizational quality improvement goals.

Able to verbalize at least one departmental or hospital wide improvement initiative that has occurred within the last 12 months.
Cooperates with others in the improvement of services offered at our institution. Continually makes recommendations that assist in the

improvement of services.
PHYSICAL REQUIREMENTS:

Body Positions: Sitting and standing for prolonged periods.
Body Movements: Arm and hand dexterity.
Body Senses: Must have command of close and distant sight, color perception and hearing.
Strength: Ability to lift and move up to 25-pounds.

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Refine Your Search

clinical documentation specialist jobs in hemet, ca

CDIS - Clinical Doc Improvement Specialist - Hemet, CA

Per Diem Clinical Research Nurse - Home Visits

Senior Data Extraction Specialist

Certified Medical Records Coder-Inpatient (Riverside)

Certified Medical Records Coder-Outpatient (Swing/Weekend)

Clinical Trial Psych Rater - German Speaking

Staff RN - ECMO Spec / FT, nights

Travel IMC RN Job in Birmingham, Alabama

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