Clinical Documentation Specialist

1 day ago


Los Angeles, California, United States CPMC Van Ness Campus Full time
Job Title: Clinical Documentation Specialist

We are seeking a highly skilled Clinical Documentation Specialist to join our team at CPMC Van Ness Campus. As a Clinical Documentation Specialist, you will play a critical role in ensuring the accuracy and completeness of patient medical records.

Key Responsibilities:
  • Conduct thorough reviews of patient medical records to ensure accuracy and completeness.
  • Collaborate with physicians, allied health professionals, and nursing staff to clarify documentation and resolve discrepancies.
  • Apply knowledge of MS-DRG classification and APR-DRG classification to optimize severity of illness and quality in the medical record.
  • Develop and maintain expertise in clinical documentation best practices and regulatory requirements.
Requirements:
  • Current CA RN licensure.
  • At least 2 years of CDI experience in a complex acute care setting.
Work Schedule:

5x8 M-F Days, start times from 0700-8:30.

Additional Information:

Please note that certain certifications, such as ACLS, BLS, PALS, and others, may have specific requirements. Additionally, physical exams, fit mask tests, and other health documents may be stipulated.



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