Clinical Documentation Specialist Trainee - Medical Records

Full Time
National City, CA 91950
Posted
Job description
Overview:
Prime Healthcare, with 45 hospitals in 14 states, is one of the nation's premier hospital systems recognized for quality and patient safety. Prime Healthcare hospitals received more than 300 quality awards from Healthgrades, and Prime has more Patient Safety Excellence Award recipients for six consecutive years than any other health system in the country. Our hospitals have also been recognized among the nation’s best by Fortune/IBM Watson Health, and rank among the top health systems in social responsibility and cost efficiency, according to the Lown Hospital Index.

At Paradise Valley Hospital a 291 acute clinic, we are proud of our heritage as the oldest hospital in San Diego’s South Bay, serving the healthcare needs of community for more than 100 years. We are the largest employer in San Diego's National City and our beautiful 30-acre campus is bustling with activity, including exciting new growth and expansion, like our recent high tech upgrades and brand-new San Diego Spine & Joint Center. Our hospital is only a few miles from the ocean and downtown San Diego.

Join our family of caring professionals who bring dedication and commitment to our mission, The Skill to Heal, The Spirit to Care. We combine our compassion and education along with state-of-the-art, life-saving technology to best serve the healthcare needs of our community.

Responsibilities:
CDS Trainee is responsible for 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. CDS Trainee will work 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. Additional duties as provided.

Qualifications:
Education and Work Experience

Required qualifications:
1. Medical Graduate, PA or Nursing Graduate.

2. Minimum of 3 years clinical experience in an acute care setting.

3. Knowledge of care delivery documentation systems and related medical record documents.

4. Knowledge of age-specific needs and the elements of disease processes and related procedures.

5. Strong broad-based clinical knowledge and understanding of pathology / physiology of disease processes.

6. Excellent written and verbal communication skills. Excellent critical thinking skills.

7. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff and hospital management staff.

8. Working knowledge of inpatient admission criteria.

9. Ability to work independently in a time-oriented environment.

10. Computer literacy and familiarity with the operation of basic office equipment.

11. Assertive personality traits to facilitate ongoing physician communication.

Preferred qualifications:
1. Working knowledge of Medicare reimbursement system and coding structures preferred.

Paradise Valley Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $25.00 to $25.25. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

jjbodyshop.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, jjbodyshop.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, jjbodyshop.com is the ideal place to find your next job.

Intrested in this job?

Related Jobs

All Related Listed jobs