What are the responsibilities and job description for the Clinical Documentation Specialist position at San Antonio Regional Hospital?
Overview
JOB SUMMARY
Assists with improving the overall quality and completeness of physician clinical documentation of diagnosis and procedure using terminology integral to HIPAA- related transactions sets, primarily in inpatient and observation admissions.
MINIMUM QUALIFICATIONS
Education: Bachelor’s Degree in related field preferred.
Experience: 5 years of recent experience in clinical health care setting.
Knowledge and Skills: Must possess a high level of clinical knowledge regarding the patient population served in order to participate collaboratively with all member of the care team. Works with minimal supervision, must be able to communicate verbally and written to individuals of varying education levels.
License/Certifications: Current CA RN License, Nurse Practitioner, Physician Assistant, MD graduate/educated in UR or foreign country, Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP). CDS certification is encouraged but not required.
Equipment: Demonstrated ability to use technology and appropriate software to support in their daily activities.
Physical Requirements: Must be able to perform the essential physical requirements of the job.
PAY RANGE
$47.90 - $71.84
The posted pay range reflects the lowest to highest pay that was available for this position at the time of posting and may be subject to change. Salary offers are determined by candidate’s relevant experience and skills. For per diem positions, a standard rate is used based on market data and not the candidate’s individual experience.
Salary : $48 - $72
