CDS

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! La Palma Intercommunity Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Founded in 1972, La Palma Intercommunity Hospital is a 141-bed acute-care community hospital and the only hospital in La Palma. Our highly qualified team is committed to providing outstanding service in a safe, comfortable, and caring environment. Patients treated at La Palma Intercommunity Hospital benefit from the expertise of a large hospital system in a smaller, more personal setting. For more information visit www.lapalmaintercommunityhospital.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, EXPERIENCE, TRAINING

 

Required Qualifications:

Medical Graduate, PA or Nursing Graduate

Minimum of one (1+) year’s 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.

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

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

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.

 

Preferred Qualifications:

ECFMG Certificate or RN license

Prior Case Management Experience

Working knowledge of the Medicare reimbursement system and coding structures   

Current BCLS (AHA) certificate upon hire and maintain current.

ACLS Certificate

Pay Transparency

La Palma Intercommunity 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 $32.00 to $32.00. 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.

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

 

Privacy Notice

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf