What are the responsibilities and job description for the Clinical Documentation Specialist position at City of Hope?
Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.
Position Summary:
As a successful candidate, you will:
- Assigns diagnoses and procedure codes to inpatient records based upon clinical record documentation and obtains a working DRG. Partners with Nurse Case Managers and physicians to identify opportunities for documentation improvement to support patient severity of illness and risk of mortality.
- Query physician(s) for clarification and additional documentation prior to code assignment when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicator).
- Performs clinical record abstracting and data collection to justify and support optimal reimbursement, data quality, performance improvement analysis, and outcome reporting initiatives. Assigns and sequences ICD-9 diagnosis and procedure codes in compliance with UHDDS, billing requirements, and organization specific policies.
- Participates as an active member of the multi-disciplinary patient care team. In doing so, shares utilization metrics and acquires additional information about patient co-morbidities and complications. Works collaboratively with Nurse Case Managers during the patient’s episode of inpatient care to assist physicians and other practitioners to document diagnoses and procedures in a clear, concise, and comprehensive manner.
- Utilizes electronic and hard copy resources available to ensure accuracy in assigning classification codes.
Your qualifications should include:
- Associates and / or Bachelors degree in Health Information Management and /or a coding certification (CCS).
- Two (2) years inpatient Clinical Coding experience required or completed competency assessment for inpatient coding at City of Hope.
- Familiarity with Concurrent Coding models highly desirable.
- Proficiency with Encoder / Grouper technology and basic keyboarding skills.
- Successful completion of required education courses.
- CCS, CDIP or CCDS required
City of Hope is an equal opportunity employer. To learn more about our commitment to diversity, equity, and inclusion, please click here.
To learn more about our Comprehensive Benefits, please CLICK HERE.
Salary : $42 - $59
