CDS Trainee - SCBNJ Data Quality

Overview

At Saint Clare's Health, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Saint Clare's Health is actively seeking new members to join its award-winning team!

 

Saint Clare's Health includes CMS 5-Star Rated hospitals and is an award-winning provider of safe, high quality, compassionate care, serving the communities of Morris, Warren and Sussex counties. Its network of hospitals and healthcare facilities include Denville Hospital, Dover Hospital, Behavioral Health Centers in Boonton, Denville, and Parsippany, and an Imaging Center in Parsippany, among other satellite locations. The hospitals have received multiple quality awards including Leapfrog “A” ratings for patient safety; Healthgrades recognition for orthopedic surgery, treatment of stroke, heart care, various surgical procedures, and more. For information, visit www.saintclares.com.

 

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

CDS Trainee is responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records to evaluate the clinical documentation is reflective of quality of care outcomes and reimbursement compliance for acute care services provided. CDS Trainee will work closely with the medical staff to facilitate appropriate clinical documentation of patient care. Other responsibilities include conducting documentation for inpatient admission criteria, initial and extended-stay concurrent reviews on all selected admissions and documenting findings. Additional duties as provided.

Qualifications

EDUCATION, EXPERIENCE, TRAINING Required qualifications:

 

1. Medical Graduate, PA or Nursing Graduate.

2. Minimum of 3 years clinical experience in an acute care setting.

3. Knowledge of care delivery documentation systems and related medical record documents.

4. Knowledge of age-specific needs and the elements of disease processes and related procedures.

5. Strong broad-based clinical knowledge and understanding of pathology / physiology of disease processes.

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

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

8. Working knowledge of inpatient admission criteria.

9. Ability to work independently in a time-oriented environment.

10. Computer literacy and familiarity with the operation of basic office equipment.

11. Assertive personality traits to facilitate ongoing physician communication.

 

Preferred qualifications:

 

1. Working knowledge of Medicare reimbursement system and coding structures preferred.