Clinical Documentation Specialist Lead - Clinical Documentation Integrity

Job Description

The Clinical Documentation Medical Professional (CDMP) Lead is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The CDMP Lead will provide support and expertise through comprehensive assessment and review of inpatient medical records. The CDMP Lead will facilitate accurate DRG assignment and obtain appropriate documentation through extensive interaction with physicians, patient caregivers, and health information management coding staff to ensure that reimbursement (reflecting the proper quality of care and appropriate reimbursement) is received for the level of services rendered to the patients. Offers guidance and support to RN Clinical Documentation Specialists and assists the Director as needed.

CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women’s services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.

• One of the following required
• Foreign or domestic Medical School Graduate (license not required)
• Graduate from a Physician’s Assistant program
• Graduate from a Registered Nurse Practitioner program
• 5+ years of experience in the area of population to be served is required
  
• M.D. or D.O.; ECFMG certification (preferred for Foreign Medical Graduates)
  
• Current PA or RNP license required, as appropriate
• Certified Clinical Documentation Specialist (CCDS) required

Full Time

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165122

Clinical Documentation Specialist Lead - Clinical Documentation Integrity

CHRISTUS Santa Rosa

Revenue Cycle

CHRISTUS Santa Rosa Hospital Westover Hills

FULL TIME