CDS Trainee - GCH

Garden City Hospital • Garden City, MI

1d • Onsite

About The Position

Garden City Hospital, a member of Prime Healthcare, is an award-winning medical facility with over 300 licensed beds and a teaching hospital. It offers medical education to students, residents, and fellows from across the country, with over 80 trainees in various specialties and an award-winning staff of over 350 physicians. The hospital prides itself on community involvement and commitment to preserving access to quality and compassionate healthcare. The CDS Trainee will be responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records to evaluate if the clinical documentation reflects quality-of-care outcomes and reimbursement compliance for acute care services provided. This role involves close collaboration with the medical staff to facilitate appropriate clinical documentation of patient care, as well as conducting documentation for inpatient admission criteria, initial, and extended-stay concurrent reviews on all selected admissions and documenting findings.

Requirements

• Medical Graduate, PA or Nursing Graduate required.
• Minimum of six (6) months of clinical experience in an acute care setting in any capacity.
• Knowledge of care delivery documentation systems and related medical record documents.
• Knowledge of age-specific needs and the elements of disease processes and related procedures.
• Strong broad-based clinical knowledge and understanding of pathology / physiology of disease processes.
• Excellent written and verbal communication skills.
• Excellent critical thinking skills.
• Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff and hospital management staff.
• Working knowledge of inpatient admission criteria.
• Ability to work independently in a time-oriented environment.
• Computer literacy and familiarity with the operation of basic office equipment.
• Assertive personality traits to facilitate ongoing physician communication.

Nice To Haves

• Working knowledge of Medicare reimbursement system and coding structures preferred.

Responsibilities

• Conducting clinically based concurrent and retrospective reviews of inpatient medical records to evaluate the clinical documentation is reflective of quality-of-care outcomes and reimbursement compliance for acute care services provided.
• Collaborate closely with the medical staff to facilitate appropriate clinical documentation of patient care.
• Conducting documentation for inpatient admission criteria, initial and extended-stay concurrent reviews on all selected admissions and documenting findings.
• Additional duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 251-500 employees