Clinical Documentation Specialist

2 weeks ago


San Diego, California, United States UC San Diego Health System - Hillcrest Full time
Job Summary

We are seeking a skilled Clinical Documentation Specialist to join our team at UC San Diego Health System - Hillcrest. As a Clinical Documentation Specialist, you will be responsible for performing complex reviews of patient medical documentation, evaluating quality measures, consistency, completeness of documents, and accuracy for severity of illness (SOI) and risk of mortality (ROM).

Key Responsibilities
  • Establish productive working relationships in regular communications with clinicians, patient care staff, and health information management (HIM), and coding personnel
  • Proficiency with EPIC and CDS software that uses Computer Assisted Coding e.g. 3M 360, Optum etc.
  • Excellent communication and query writing skills, background in adult telemetry or ICU
  • Interpersonal skills and ability to work with all levels of physicians, advanced practice providers and staff onsite
Requirements
  • BSN or FMSG
  • Preferred: CCDS or CDIPS
Work Environment

This position is located at La Jolla Campus, but applicant must be able to travel to La Jolla/Hillcrest/East Campus. We offer a dynamic and supportive work environment with opportunities for professional growth and development.



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