Overview RN Clinical Documentation Integrity Specialist (CDIS) - Onsite job at Southwest Healthcare System. Palmdale, CA.
Responsibilities Join the Southwest Healthcare Team!
About Us:
Southwest Healthcare is a comprehensive network of care with hospitals and ambulatory care locations serving the Southern California community. With over 7,000 providers and healthcare employees, our goal is to provide convenient access to a wide range of services for you, your family, and the community.
Southwest Healthcare comprises five acute care hospitals and several non-hospital access points, including Corona Regional Medical Center, Palmdale Regional Medical Center, Southwest Healthcare Rancho Springs Hospital, Southwest Healthcare Inland Valley Hospital, Temecula Valley Hospital, Temecula Valley Day Surgery, A+ Urgent Care Centers, Apex Heart Specialists, and Riverside Medical Clinics. We focus on career development and promotion, with people at the core of everything we do.
Job Summary:
Southwest Healthcare is seeking a Full-Time RN Clinical Documentation Integrity Specialist . This position will be onsite at Palmdale Regional Medical Center. We encourage Registered Nurses who are new to the CDI specialty to apply. Comprehensive training will be provided. Duties include but are not limited to:
Providing clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services. Responsible for improving the overall quality and completeness of clinical documentation.
Promotes a partnership between concurrent clinical reviews, medical record coders, and physicians to improve documentation and reimbursement.
Facilitates clarification and specificity to clinical documentation through appropriate interaction with physicians, advocating for appropriate reimbursement.
Reviewing medical records to identify payer population as documented upon admission and throughout the hospitalization.
Analyzes status of patient, current treatment plan, past medical history and identified possible gaps in physician documentation.
Supports the accuracy and completeness of the clinical information used for measuring and reporting physician and hospital outcomes to reflect the patient’s true severity of illness, intensity of care, and risk of mortality.
Qualifications Experience/Training/Experience:
Associate\'s degree in nursing from an accredited college or university required.
Bachelor\'s degree in nursing from an accredited college or university preferred.
Minimum of five (5) years of recent clinical experience in an acute care setting (Critical care, Medical/Surgical or Emergency Medicine) required; Critical Care or Medical/Surgical preferred.
Certifications/Licenses:
Current license as a Registered Nurse in California required.
Current certification(s) for CCDS or CDIP preferred.
Other Skills and Abilities:
Familiarity with basic medical laws and ethics, e.g., consents and confidentiality.
Knowledge of emergency procedures, medical terminology and abbreviations.
Proficiency in word processing, databases and spreadsheets.
Strong clinical knowledge and understanding of anatomy and pathology/physiology.
Ability to work independently in a time-oriented environment.
Working knowledge of ICD-10-CM coding guidelines and Medicare reimbursement system.
Working knowledge of inpatient admission criteria.
Detail-oriented with ability to collect, trend and report data.
Excellent organizational skills.
Ability to perform under pressure, meet deadlines and tight schedules.
Demonstrates ability to maintain positive relationships with coworkers and staff via various communication methods.
Ability to set priorities and manage multiple tasks daily.
Benefit Highlights: Challenging and rewarding work environment.
Competitive compensation and generous paid time off.
Excellent medical, dental, vision and prescription drug plans.
401(k) with company match and discounted stock plan.
SOFi student loan refinancing program.
Tuition, CEU, certification, licenses reimbursement.
Career development opportunities within UHS and its 300+ subsidiaries.
Southwest Healthcare is owned and operated by subsidiaries of Universal Health Services, Inc. (UHS). UHS is not accepting unsolicited assistance from search firms for this employment opportunity. No phone calls or e-mails. Resumes submitted by search firms without a valid written search agreement may be deemed the sole property of UHS. No fee will be paid if the candidate is hired through other means.
EEO Statement All UHS subsidiaries are committed to equal employment opportunities and support recruitment, selection, placement, promotion and compensation without regard to race, color, religion, age, sex, genetic information, national origin, disability status, protected veteran status or any other characteristic protected by law. We value diversity and inclusion among our teammates.
Notice Our HR team is available to help prospective candidates match skillsets with opportunities. Do not provide sensitive information via insecure channels. If you suspect a suspicious job posting, contact Us at 1-800-852-3449.