Clinical Documentation Specialist

Conifer Health Solutions • Modesto, CA

1d

About The Position

Reporting to the Manager, CDI (Corporate), the Clinical Documentation Specialist (CDS) will be responsible for facilitating concurrent documentation of the medical record to achieve accurate inpatient coding and legitimate DRG assignment. The initial focus will be on the Medicare population.

Requirements

• 3 years clinical experience in an acute care setting OR 3 years CDI experience
• 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
• 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
• 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.
• Current California Registered Nurse License or CDI/CCS Certification

Nice To Haves

• Working knowledge of Medicare reimbursement system and coding structures

Responsibilities

• facilitating concurrent documentation of the medical record to achieve accurate inpatient coding and legitimate DRG assignment

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees