Mission Regional Medical Center
Location
Mission, Texas
The CDS Trainee conducts concurrent and retrospective reviews of inpatient medical records to ensure documentation reflects quality-of-care and reimbursement compliance. They collaborate with medical staff to facilitate accurate clinical documentation and evaluate admission criteria.
Candidates must be a Medical, PA, or Nursing graduate with at least six months of clinical experience in an acute care setting. Strong clinical knowledge of disease processes and excellent communication skills are required.
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 collaborate 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 assigned.
EDUCATION, EXPERIENCE, TRAINING Required qualifications: 1. Medical Graduate, PA or Nursing Graduate. 2. Minimum of six (6) months of clinical experience in an acute care setting in any capacity. 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.
1. Working knowledge of Medicare reimbursement system and coding structures preferred. Employment Status Full Time Shift Days Equal Employment Opportunity 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:
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