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Clinical Documentation Specialist CDS

Company: Clinical Management Consultants
Location: Sunnyvale
Posted on: March 16, 2019

Job Description:

If you are a Clinical Documentation ImprovementCDINurse who is lookingfor a job that will stimulate, challenge and engage you? You've come to the right place!

The Clinical Documentation Specialist Nurse RN will work for a non-profit acute care facility with 300 plus bed and 1,500 employees located in beautiful, coastal and warm Silicon Valley of Northern California surrounded by beaches, mountain retreats and wine countries. The hospital provides quality and affordable health care services to the surrounding community while named as a "Top Employer to Work for"

TheCDIClinical Documentation ImprovementNurse will provide a key role in facilitating long-term success of the clinical documentation improvement and integrity program by providing day-to-day intense oversight of theCDIprogram. Reporting to the Sr. Director of Quality Improvement and Patient Safety, theCDSNurse will be responsible for increasingCDIprogram awareness (team members,CDIprocess, program benefits) with the goal of enhancing the appropriateness and comprehensiveness of the medical record to ensure patient safety and quality of care.

The goal of the Clinical Documentation Improvement program is to ensure that physician and allied health documentation accurately represents the condition and co-morbiditiesfor patients of the hospital. The Clinical Documentation SpecialistCDSNurse will work in collaboration with the medical center's team of clinicians, coding professionals, physicians, physician's assistants' and certified registered nurse practitioners to ensure accurate and timely clinical documentation in the medical record that supports the coding process in attaining appropriateDRGsbased on sound clinical entries in the medical record.

The Clinical Documentation ImprovementCDINurse will support ongoing communication and education on documentation opportunities, coding and reimbursement issues, as well as performance improvement methodologies to physicians and entire hospital staff.The Clinical Documentation ImprovementCDIRN will function as the Steering Committee administrator and participate inCDITask Force meetings to provide all around oversight of theCDIprogram.

The ideal candidate for Clinical Documentation SpecialistCDSNurse should haveBSNdegree with minimum of 3 years experience in an acute care, hospital or similar setting and minimum of 3-years experience inCDIPrograms with knowledge of Medicare Part A and Part B. TheCDINurse should beCCDS/CDIPandICD-10 trained and have 2-3 years extensive knowledge of regulatory environment and understandCDMP-- documentation strategies.Health Information Management program required with BS in relevant Healthcare field preferred

The Clinical Documentation Improvement Nurse will join a hospital that thrives to provide the best patient care to the surrounding community. The family atmosphere, compassionate patient care, dedication to its employees and 100 plus years of service to the community makes this hospital the place to embark upon the next step in your career. Join now!


Keywords: Clinical Management Consultants, Sunnyvale , Clinical Documentation Specialist CDS, Healthcare , Sunnyvale, California

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