Clinical Documentation Specialist II Walker FT Days

NOTE: HYBRID role with in-person and remote work upon completion of training. 

Intermediate level position for experienced CDS. Demonstrates all skills of CDS I with less than 5% error rate.

Position Summary: Under general supervision of the Clinical Documentation Integrity Program Manager, the Clinical Documentation Specialist II is responsible for improving overall quality and completeness of clinical documentation to accurately reflect patient severity of illness and risk of mortality through extensive interaction with physicians, case management, nursing staff, other patient caregivers, and coding staff.Develops or recommends improvements/enhancements to documentation tools, provider engagement and/or processes related to documentation and related outcomes, as needed. Assists in reconciling query and non-query impact within the CDI data entry systems. Assists in the supervision of staff. Meet with decision makers, systems owners, and end users to define requirements and goals. Participates and/or leads meetings with administrators.  Performs other related and incidental duties as needed or required.

Education
Required: Graduate of an accredited school of nursing, AHIMA accredited school, United States or international school of medicine

Experience
Required: 5years of CDS experience and 2 years recent acute care experience in aclinical or inpatient coding setting; or, MBBS and USMLE in lieu of experience.

Certifications
Required: RN, LVN, LPN, RHIA, RHIT, CCS, CIC, MD, DO, PA, NP and CCDS or CDIP certification

#LI-OB1
 

Is an intermediate level position for experienced CDS.

Education:

Required: Graduate of an accredited school of nursing, AHIMA accredited school, United States, or international school of medicine

Experience:

Required: 2 to 5 years of CDS experience and 2 years recent acute care experience in a clinical or inpatient coding setting; or MBBS and USMLE in lieu of experience.

Certifications:

Required: RN, LVN, LPN, RHIA, RHIT, CCS, CIC, MD, DO, PA, or NP*.

Physical Demands:

Who We Are
We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.
Our Story
We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact Today
Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.