CDS - PMC Medical Records Clinical Doc

Providence Medical Center • Kansas City, KS

1d

About The Position

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Providence Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Providence Medical Center, located near I-435 and Parallel Pkwy in Kansas City, Kansas, offers an extensive array of diagnostic and medical care. Key services include nationally recognized cardiovascular care, critical care, surgery, neurosurgery, orthopedics, pulmonary services, 24/7 emergency services and wound care center. The hospital is accredited by The Joint Commission and is a member of Prime Healthcare. For more information visit www.providencekc.com or call 913-596-4000.
The Clinical Documentation Specialist (CDS) is responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records. These reviews are to evaluate whether the clinical documentation is reflective of the quality-of-care outcomes and reimbursement compliance for acute care services provided. The CDS works closely with the medical staff to facilitate appropriate clinical documentation of patient care. Other responsibilities include conducting documentation for inpatient admission criteria, initial and extended-stay concurrent reviews on all selected admissions and documenting findings. He/She will perform other duties as assigned or required.

Requirements

• Medical Graduate, PA or Nursing Graduate
• Minimum of three (3) year’s clinical experience in an acute care setting
• 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 and 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

• ECFMG Certificate or RN license
• Prior Case Management Experience
• Working knowledge of the Medicare reimbursement system and coding structures
• Current BCLS (AHA) certificate upon hire and maintain current
• ACLS Certificate

Responsibilities

• conducting clinically based concurrent and retrospective reviews of inpatient medical records
• evaluate whether the clinical documentation is reflective of the quality-of-care outcomes and reimbursement compliance for acute care services provided
• works 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
• perform other duties as assigned or required

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 251-500 employees