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Clinical Documentation Specialist (CDS) - Full Time - Days

Company: Doctors Medical Center of Modesto
Location: Modesto
Posted on: January 10, 2019

Job Description:

Reporting to the Chief Information Office, 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.


Qualifications:
CA RN license
3+ years 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.
Working knowledge of Medicare reimbursement systems and coding structures desired, not required.
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.

Job: Medical Records
Primary Location: Modesto, California
Facility: Doctors Medical Center of Modesto
Job Type: Full-time
Shift Type: Days

Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Keywords: Doctors Medical Center of Modesto, Modesto , Clinical Documentation Specialist (CDS) - Full Time - Days, Healthcare , Modesto, California

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