Clinical Documentation Specialist
Job Posting for Clinical Documentation Specialist at Grand View Hospital
Responsibilities
The Clinical Documentation Specialist (CDS) provides timely concurrent review of clinical documentation in the medical records by querying the medical staff and other caregivers as necessary via written/verbal communication to obtain accurate and complete physician/staff documentation that supports the severity of patient illness, risk of mortality, and the quality of care provided. This is done by performing a thorough chart review to identify co-morbidities and complications and document appropriately on departmental worksheets. There is great importance to make an effort to capture all potential secondary diagnosis, for appropriate DRG assignment for profiling purposes.Rotational remote work eligible.
Qualifications
Education and Experience:Associate degree in Nursing required. Preferred candidate will have 5-7 years or more Acute Care Clinical Documentation experience as Clinical Documentation Specialist as well as 5 plus years of Acute Care Hospital experience in Med/Surg, Tele or ICU. BSN and/or Certified Clinical Documentation Specialist (CCDS)/Clinical Documentation Integrity Practitioner (CDIP) credential with coding experience preferred. Licenses and Certifications:Registered Nurse in PA – Licensed, Upon hire, required
Benefits:• Medical, Free Dental, Vision Insurance for full time and part time• 403B• Pension Plan• On-site discounted Child Care Center• Tuition Reimbursement up to $5250 per year• Free Life Insurance• Free Parking• Paid Time Off• Sick Time• Flexible Spending Accounts• Employee Referral Bonus
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Job openings at Grand View Hospital
Sellersville, PA
Other
Sellersville, PA
Full Time
Sellersville, PA
Full Time
Quakertown, PA
Full Time
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