What are the responsibilities and job description for the CDS - PMC Medical Records Clinical Doc position at Providence Medical Center?
Overview
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Providence Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Providence Medical Center, located near I-435 and Parallel Pkwy in Kansas City, Kansas, offers an extensive array of diagnostic and medical care. Key services include nationally recognized cardiovascular care, critical care, surgery, neurosurgery, orthopedics, pulmonary services, 24/7 emergency services and wound care center. The hospital is accredited by The Joint Commission and is a member of Prime Healthcare. For more information visit www.providencekc.com or call 913-596-4000.
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
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
