CDS - SJOMO Medical Records

Overview

At St. Joseph Medical Center, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, St. Joseph Medical Center is actively seeking new members to join its award-winning team!

 

Founded in 1874 by the Sisters of St. Joseph of Carondelet, St. Joseph Medical Center has a long tradition of providing high-quality, compassionate care. Its Catholic heritage and the spirit of our founding Sisters continue today in our mission of caring for the community. The Diocese of Kansas City-St. Joseph is the Catholic Sponsor for St. Joseph Medical Center, under the leadership of his Excellency Bishop James V. Johnston, Jr.

 

St. Joseph Medical Center has received numerous awards for its quality and clinical excellence. We believe that continuous quality of care and performance improvements are the foundation for preserving and enhancing healthcare delivery. For information, visit www.stjosephkc.com.

 

Responsibilities

The Clinical Documentation Specialist (CDS) is responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records. These reviews are to evaluate whether the clinical documentation is reflective of the quality-of-care outcomes and reimbursement compliance for acute care services provided. The CDS works 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. He/She will perform other duties as assigned or required.

Qualifications

Education and Work Experience

 

Required Qualifications:  1. Medical Graduate, PA or Nursing Graduate 2. Minimum of three (3) year’s 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 and 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. ECFMG Certificate or RN license 2. Prior Case Management Experience 3. Working knowledge of the Medicare reimbursement system and coding structures 4. Current BCLS (AHA) certificate upon hire and maintain current 5. ACLS Certificate

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf