Group CDS - SMRMC-MG Medical Records

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Saint Mary's Medical Group is affiliated with Saint Mary’s Regional Medical Center, one of the nation’s “100 Top Hospitals” and “A” rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

 

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Responsibilities

The Group Clinical Documentation Specialist (Group CDS) is responsible conducting clinically based concurrent and retrospective reviews of medical records. This review is to evaluate that the clinical documentation is reflective of quality of care outcomes and reimbursement compliance for acute care services provided. The Group CDS will work closely with the medical staff to facilitate appropriate clinical documentation of patient care. Other responsibilities include conducting documentation for Physician Quality Reporting Standards, CMS Meaningful Use Criteria on all selected visits and documenting findings.

Qualifications

Education and Work Experience

Medical Graduate or Bachelors degree in Nursing/Clinical or related fields required. Masters degree in any healthcare related field preferred

ECFMG Certificate preferred.

1+ year of clinical experience in acute care setting preferred.

Minimum of two years experience with ICD-10 and CPT coding in an outpatient setting preferred.

Basic computer experience required, experience in any EMR is preferred.

Computer data entry with 10-key preferred, with accurate typing speed of 35 wpm preferred

Excellent written and verbal communication skills. Excellent critical thinking skills.

Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, coding staff and management staff.

Ability to work independently in a time-oriented environment.

Familiarity with the operation of basic office equipments.