Clinical Documentation Specialist (CDS)

Prime Healthcare • Inglewood, CA

1d • Onsite

About The Position

At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital Medical Center is actively seeking new members to join its award-winning team! Centinela Hospital Medical Center has been serving the communities of Inglewood and the wider Los Angeles area for 100 years. An award-winning facility, ranking in the top 5% nationally for quality and patient safety, Centinela Hospital is a 362-bed acute-care hospital with a 24-hour STEMI certified emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, inpatient and outpatient rehab programs, and more. Centinela has earned hundreds of national awards and recognitions, including "100 Top Hospital" recognition from Fortune/Merative and straight 'A's (2018-2024) for hospital safety from The Leapfrog Group.

Requirements

• Medical Graduate, PA or Nursing Graduate
• Minimum of one (1+) 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 to evaluate whether the clinical documentation is reflective of the quality-of-care outcomes and reimbursement compliance for acute care services provided.
• Working 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.

Benefits

• paid time off
• a 401K retirement plan
• medical, dental, and vision coverage
• tuition reimbursement
• many more voluntary benefit options

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree