Clinical Documentation Specialist - Case Management

UC Irvine Health   •  

Orange, CA

Industry: Healthcare


5 - 7 years

Posted 65 days ago

This job is no longer available.

Position Summary:

The Clinical Documentation Specialist facilitates improvement in the overall quality, completeness and accuracy of medical record documentation through comprehensive auditing and evaluation of the medical record. Proactively solicits clarification from physicians and other healthcare providers when further specificity is needed to ensure accurate quality data and appropriate reimbursement. Educates others on documentation guidelines on an ongoing basis. Collects and analyzes data to provide reports and make recommendations.

Salary Range:

Rate Minimum $76,400.00 Maximum $137,600.00

Required Qualifications:

Ability to establish and maintain effective working relationships across the HealthSystem

Ability to influence and work collaboratively with physicians and all levels of staff

Ability to maintain a work pace appropriate to the workload

CDI credential required (CCDS, CDIP)

Complete understanding of acuity levels for specific patient populations

Critical thinking skills to problem solve and communicate with physicians on clinical issues

Excellent written and verbal communication skills in English

Familiarity of Joint Commission and CMS requirements

Familiarity with Utilization Review criteria

Minimum 5 years clinical RNexperience and 3 years experience as a CDI Specialist or Foreign Medical Graduate (FMG) with 3 years CDI Specialist experience

Registered Nurse in CA

Must demonstrate customer service skills appropriate to the job

Must possess the skill, knowledge and ability essential to the successful performance of assigned duties

Previous experience with and / or training in ICD-10 Coding

Strong clinical knowledge with ability to interpret clinical documentation

Preferred Qualifications:

Bachelor of Science in Nursing

Knowledge of University and medical center organizations, policies, procedures and forms

Master’s degree with an emphasis in health care related fields (nursing, epidemiology, etc.)

Previous experience with comprehensive chart / record review

Physical, Mental & Environmental Demands:

To comply with the Rehabilitation Act of 1973 the essential physical, mental and environmental requirements for this job are listed below. These are requirements normally expected to perform regular job duties. Incumbent must be able to successfully perform all of the functions of the job with or without reasonable accommodation.

Job Code: 7318


$76K - $137K