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Clinical Documentation Integrity Specialist - Full Time - Days - 8hr QVH

West Covina, California

Job Title Clinical Documentation Integrity Specialist - Full Time - Days - 8hr QVH Company Name Emanate Health Employment Type Full Time Location West Covina, California Job ID R0007782 Date posted 05/13/2022 Campus/Location Queen of the Valley Hospital - West Covina

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Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals.

On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country

Job Summary

Under the supervision of the Corporate Director of Clinical Documentation Improvement (CDI) and Revenue Integrity, the Clinical Documentation Integrity Specialist (CDS) facilitates the overall quality, completeness, and accuracy of medical record documentation essential to the compliant, complete, and clinically validation assignment and reporting of applicable HIPAA-transaction sets with an emphasis upon the reporting of inpatient International Classification of Disease, 10th Edition, Clinical Modification or Procedural Coding System (ICD-10-CM/PCS). The CDS requests and facilitates appropriate clinical documentation through extensive interaction with physicians, nursing staff, case managers, health information management coding staff and other staff as to ensure that the clinical documentation reflects the patient’s conditions and level of service is complete and accurate. The CDS educates all members of the patient care team on clinical indicators, guidelines, and official advice affecting CDI documentation on an ongoing basis and supports projects that improve the quality and efficiency of the CDI and coding workflow.

Job Requirements

Minimum Education Requirement:

Required medical degree or BSN.

Minimum Experience Requirement:

Clinical experience in complex environments, such as critical care, emergency department, or others requiring knowledge of highly complex clinical conditions. Previous experience with assignment of inpatient ICD-10-CM/PCS, coding and knowledge of Medicare- Severity Diagnosis-Related Groups (MS-DRGs), 3M All-Payer-Refined Diagnosis-Related Groups (APR- DRGs), AHRQ Quality Indicators, Hierarchical Condition Categories, and other risk-adjustment methodologies, and/or performance of the CDS role is preferred. Computer skills with Microsoft Word, Excel, Outlook, and PowerPoint is preferred. Problem solving skills with physicians and health information management professionals required. Excellent communication skills.

Minimum License Requirement:

Professional licensure commensurate with their education is preferred. Current AHIMA certification as a Certificated Coding Specialist (CCS) or Clinical Documentation Improvement Practitioner (CDIP) or ACDIS certification as a Certified Clinical Documentation Specialist (CCDS) preferred; however, if not certified, must obtain as soon as allowed by the certifying entities. If not certified upon engagement, one failure of the certifying exam is allowed; however passage of the second exam within three months or as soon as allowed by the certifying entity is required.

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