Clinical Documentation Specialist
3 weeks ago
Align yourself with an organization that has a reputation for excellence. Cedars-Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year. Cedars-Sinai offers an outstanding benefits' package that includes health care, paid time off and a 403(B). Join us Discover why U.S. News & World Report has named us one of America’s Best Hospitals.
What Will I be doing in this role?The Clinical Documentation Specialist performs record review (quantitative and qualitative) and assesses the level of compliance with stated regulatory requirements by area of job focus. Assigns a working MS-DRG/APR-DRG. Assists in clarifying clinical information used for measuring and reporting physician and medical center outcomes which incorporates current DRG methodologies (e.g. MS-DRGs, etc.) by CMS and/or other regulatory/quality reporting bodies (e.g. APR-DRGs, SOI, ROM, etc). Issues queries to members of the patient care team – primarily physicians – regarding possible diagnoses or to improve the specificity of diagnoses thru enhanced clinical documentation. Facilitates modifications to clinical documentation as needed to support component stated previously. Leads or provides education/training to clinical care (physicians, nurses, etc.) and administrative support team members regarding the clinical documentation requirements essential for demonstrating quality patient care (SOI, ROM, etc.), the regulatory interpretation of outcomes for focused diagnoses, and their impact on reimbursement and quality reporting for the organization. Assists in developing educational materials as needed. Demonstrates knowledge of applicable regulatory standards/requirements by applying them accurately when providing guidance to customers. Accurately applies knowledge during record review activities. Supports ad-hoc reviews or data collection activities for focused or special research studies conducted within the organization.
Qualifications
Requirements:
- High School Diploma or GED required.
- Bachelor's degree in Nursing, Health Information Management or a similar major preferred. A foreign Medical Degree may be considered.
- RN State License - Current RN license (not limited to State of California) or higher clinical degree (i.e., MD), or Registered Health Info Admin, or Registered Health Info Tech required upon hire.
- Clinical Documentation Improvement Professional (CDIP) or Certified clinical Documentation Specialist (CCS) preferred.
- A minimum of 3 years of acute care experience required. A minimum of 3 years of experience in Utilization Review, Coding, or Case Management experience preferred.
Req ID : 2694
Working Title : Clinical Documentation Specialist - 8 Hour Days
Department : CSRC CDI Services
Business Entity : Cedars-Sinai Medical Center
Job Category : Patient Financial Services
Job Specialty : Revenue Integrity
Overtime Status : NONEXEMPT
Primary Shift : Day
Shift Duration : 8 hour
Base Pay : $49.04 - $78.46
-
Clinical Nurse Specialist
1 month ago
Alhambra, California, United States Cedars-Sinai Full timeJob Description Are you a leader? Do you inspire? A true leader aims to inspire-and at Cedars-Sinai, that's exactly what our Clinical Nurse Specialists (CNS) do Our people bring an unmatched passion to their craft and it shows in everything they accomplish, including ranking #1 of Best Hospitals in the nation by U.S. News and World Report as well as...
-
Financial Clearance Specialist I
4 days ago
Alhambra, United States Keck Medical Center of USC Full timeThe Financial Clearance Specialist is responsible for ensuring insurance eligibility, benefit verification, and the authorization processes are complete in the time allowed by the insurance companies to prevent denials or penalties. Specialists are responsible for documenting accurate insurance information and authorization details to optimize reimbursement...
-
HRIS Specialist
2 months ago
Alhambra, United States AHMC Healthcare Full timeOverview: Position Summary The HRIS Specialist provides overall support and maintenance of the HRIS systems including UKG UltiPro Core HR/Payroll, Time & Attendance, and other systems supported by the HRIS team. The HRIS Specialist provides production support, including researching and resolving HRMS problems, unexpected results or process flaws; performing...
-
HRIS Specialist
2 weeks ago
Alhambra, United States AHMC Healthcare Full timeOverview: Position Summary The HRIS Specialist provides overall support and maintenance of the HRIS systems including UKG UltiPro Core HR/Payroll, Time & Attendance, and other systems supported by the HRIS team. The HRIS Specialist provides production support, including researching and resolving HRMS problems, unexpected results or process flaws; performing...
-
Marketing Specialist
1 month ago
Alhambra, United States Astrana Health Full time**Job Title**: Marketing Specialist **Department**: Marketing **About the Role**: We are currently seeking a dynamic Marketing Specialist with strong experience in public relations, advertising, and marketing analytics to support the growth of the MSO & IPA. You will coordinate and execute marketing initiatives, including event management, media...
-
Marketing Specialist
2 weeks ago
Alhambra, United States Astrana Health Full timeJob Title: Marketing Specialist Department: Marketing About the Role: We are currently seeking a dynamic Marketing Specialist with strong experience in public relations, advertising, and marketing analytics to support the growth of the MSO & IPA. You will coordinate and execute marketing initiatives, including event management, media communications, and...
-
Insurance Billing Specialist
2 weeks ago
Alhambra, United States Keck Medical Center of USC Full timeA Billing Specialist maintains current understanding of billing and coding guidelines that affects the organization practices to ensure claims are consistently billed properly. Responsible for reviewing and resolving claim edits in the billing scrubber for all government and non-government payers; submits claims withing 48 - 72 hrs of creation date;...
-
Clinical Office Manager
3 weeks ago
Alhambra, United States USC Full timeThe Department of Family Medicine in the Keck School of Medicine at USC is seeking an experienced and organized individual to serve as the Clinical Office Manager for USC Street Medicine’s Enhanced Care Management (ECM) program. USC Street Medicine provides full-service primary care to the unsheltered homeless population. All care is delivered where...
-
Marketing Specialist
1 month ago
Alhambra, United States Astrana Health Full timeDescriptionJob Title: Marketing SpecialistDepartment: MarketingAbout the Role:We are currently seeking a dynamic Marketing Specialist with strong experience in public relations, advertising, and marketing analytics to support the growth of the MSO & IPA. You will coordinate and execute marketing initiatives, including event management, media communications,...
-
Corporate Senior Benefits Specialist
2 months ago
Alhambra, United States CareerBuilder Full timeOverview: POSITION SUMMARY The Corporate Sr. Benefits Specialist provides benefit administration and customer service to Corporate employees and provides support and education to the facility Human Resource Departments for active employee benefit plans (medical, dental, vision, life insurance, short term and long term disability, 401k, flexible spending...
-
Corporate Senior Benefits Specialist
1 month ago
Alhambra, United States AHMC Healthcare Full timeOverview: POSITION SUMMARY The Corporate Sr. Benefits Specialist provides benefit administration and customer service to Corporate employees and provides support and education to the facility Human Resource Departments for active employee benefit plans (medical, dental, vision, life insurance, short term and long term disability, 401k, flexible spending...
-
Adjunct Faculty
2 weeks ago
Alhambra, United States Stanbridge University Full timeStanbridge University is conducting a search for a qualified faculty member to provide clinical instruction in the discipline of Pediatrics for the Vocational Nursing Program. Reporting to the Vocational Nursing Program Director, the faculty member is responsible for providing subject matter expertise and delivering clinical instruction according to an...
-
Adjunct Faculty
2 weeks ago
Alhambra, United States Stanbridge University Full timeStanbridge University is conducting a search for a qualified faculty member to provide clinical instruction in the discipline of Pediatrics for the Vocational Nursing Program. Reporting to the Vocational Nursing Program Director, the faculty member is responsible for providing subject matter expertise and delivering clinical instruction according to an...
-
Adjunct Faculty
3 weeks ago
Alhambra, United States Stanbridge University Full timeJob DescriptionJob DescriptionStanbridge University is conducting a search for a qualified faculty member to provide clinical instruction in the discipline of Pediatrics for the Vocational Nursing Program. Reporting to the Vocational Nursing Program Director, the faculty member is responsible for providing subject matter expertise and delivering clinical...
-
Adjunct Faculty
2 weeks ago
Alhambra, United States Stanbridge University Full timeJob DescriptionJob DescriptionStanbridge University is conducting a search for a qualified faculty member to provide clinical instruction in the discipline of Pediatrics for the Vocational Nursing Program. Reporting to the Vocational Nursing Program Director, the faculty member is responsible for providing subject matter expertise and delivering clinical...
-
Part-time Administrative Specialist
3 weeks ago
Alhambra, United States Total Education Solutions Full timeJob DescriptionJob Description🌟 Join Our Dynamic Clinic Team in Alhambra! 🌟Come join our Office & Administrative team at Total Education Solutions, where you will be a part of an intentional, mission-driven organization based in our Alhambra Clinic. This is a part-time, 20 hours per week from 7:30AM - 11:30AM, position. 💼 Administrative...
-
Part-time Administrative Specialist
3 weeks ago
Alhambra, United States Total Education Solutions Full time🌟 Join Our Dynamic Clinic Team in Alhambra! 🌟 Come join our Office & Administrative team at Total Education Solutions, where you will be a part of an intentional, mission-driven organization based in our Alhambra Clinic. This is a part-time, 20 hours per week from 7:30AM - 11:30AM, position. 💼 Administrative Specialist 💰 $18.50 -...
-
Part-time Administrative Specialist
2 weeks ago
Alhambra, United States Total Education Solutions Full time🌟 Join Our Dynamic Clinic Team in Alhambra! 🌟 Come join our Office & Administrative team at Total Education Solutions, where you will be a part of an intentional, mission-driven organization based in our Alhambra Clinic. This is a part-time, 20 hours per week from 7:30AM - 11:30AM, position. 💼 Administrative Specialist 💰 $18.50 -...
-
Part-time Administrative Specialist
2 weeks ago
Alhambra, United States Total Education Solutions Full timeJob DescriptionJob Description🌟 Join Our Dynamic Clinic Team in Alhambra! 🌟Come join our Office & Administrative team at Total Education Solutions, where you will be a part of an intentional, mission-driven organization based in our Alhambra Clinic. This is a part-time, 20 hours per week from 7:30AM - 11:30AM, position. 💼 Administrative...
-
Corporate Senior Benefits Specialist
10 hours ago
Alhambra, United States AHMC Healthcare Full timeOverview: POSITION SUMMARY The Corporate Sr. Benefits Specialist provides benefit administration and customer service to Corporate employees and provides support and education to the facility Human Resource Departments for active employee benefit plans (medical, dental, vision, life insurance, short term and long term disability, 401k, flexible spending...
