Group CDS - SMRMC-MG Medical Records

Overview

As a long-standing community partner with a 114-year history, Saint Mary’s Health Network offers Northern Nevada inpatient, outpatient, ancillary, and wellness services. Nationally recognized and accredited by the Joint Commission, as well as named one of the Top 100 Hospitals by Fortune/Merative and America’s Best 250 hospitals by Healthgrades, Saint Mary’s Regional Medical Center is a 380-bed acute care hospital offering a robust line of inpatient, outpatient and ancillary services including a top-rated Center for Cancer, surgical and orthopedic services, and an award-winning Cardiology program and more. The health system, a member of Prime Healthcare, also operates a fully-integrated Medical Group, multiple urgent care clinics, freestanding imaging, lab, and primary care clinics. For more information, visit www.SaintMarysReno.com.

 

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Saint Mary’s Health Network, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Why Prime Healthcare?

 

 

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.