Registered Nurse - Clinical Documentation Specialist - 8 Hour Days

Company: CEDARS-SINAI
Location: Los Angeles
Posted on: March 19, 2023

Job Description:

Performs record review (quantitative and qualitative) and assesses the level of compliance with stated regulatory requirements by area of job focus. Assigns a working MS-DRG/APR-DRG or diagnosis specific review criteria for CORE measure decision trees within the set time frames. May also review inpatient and outpatient records as part of the hospital wide medical record review program for the Joint Commission. Captures and maintains the related review data in designated computer systems or databases. Assists in clarifying clinical information used for measuring and reporting physician and medical center outcomes which incorporates current DRG methodologies (e.g. MS-DRGs, etc.) by CMS and/or other regulatory/quality reporting bodies (e.g. APR-DRGs, SOI, ROM, etc). Issues queries to members of the patient care team - primarily physicians - regarding possible diagnoses or to improve the specificity of diagnoses thru enhanced clinical documentation. Facilitates modifications to clinical documentation as needed to support component stated previously.
Educational Requirements: High School Diploma/GED Required. Bachelor's Degree in Nursing or Health Information Management PreferredForeign Medical Degree may be considered Licenses: RN State License -Current RN license (not limited to State of California) or higher clinical degree (i.e. MD), or Registered Health Info Admin, or Registered Health Info Tech Required;Clinical Documentation Improvement Professional - or Certified Clinical Documentation Specialist Preferred Experience: Acute Care Experience - 3 Years RequiredUtilization Review, Coding, or Case Management experience - Preferred Physical Demands: Sit at a desk or table with some walking, standing, bending, stooping, or carrying of light objects - FrequentlyPerform continuous operation of a personal computer for four hours or more. - ConstantlyUse hands and fingers to handle and manipulate objects and/or operate equipment. -ConstantlyBend, crouch, stoop, stretch, or crawl. Bend upper torso and reach up and out with hands and arms. - Rarely
Working Title: Registered Nurse - Clinical Documentation Specialist - 8 Hour Days
Department: HI CDI/CORE Measures
Business Entity: Corporate Services
Job Category: Patient Financial Services
Job Specialty: Revenue Integrity
Position Type: Full-time
Shift Length: 8 hour shift
Shift Type: Day
Base Pay:$47.64 - $76.22

Keywords: CEDARS-SINAI, Los Angeles , Registered Nurse - Clinical Documentation Specialist - 8 Hour Days, Healthcare , Los Angeles, California