CDS Trainee -

Prime Healthcare; Ontario; On-site; CAD 30,000 - 60,000; Full time

Job summary

An established industry player in healthcare is seeking a Clinical Documentation Specialist Trainee to join their dynamic team. This role involves conducting thorough reviews of inpatient medical records to ensure quality care outcomes and compliance with reimbursement standards. Ideal candidates will have a strong clinical background, excellent communication skills, and the ability to work collaboratively with medical teams. Join a forward-thinking organization that values professional growth and offers a comprehensive benefits package, including competitive compensation, paid time off, and tuition reimbursement. If you're passionate about making a difference in patient care, this opportunity is perfect for you.

Benefits

Paid Time Off

401K

Medical Coverage

Dental Coverage

Vision Coverage

Tuition Reimbursement

Voluntary Benefits

Qualifications

• 3+ years clinical experience in an acute care setting required.
• Strong clinical knowledge and understanding of pathology/physiology.

Responsibilities

• Conduct reviews of inpatient medical records for quality of care outcomes.
• Collaborate with medical staff for proper clinical documentation.

Skills

Clinical Documentation

Critical Thinking

Communication Skills

Interpersonal Skills

Knowledge of Pathology/Physiology

Education

Medical Graduate

PA Graduate

Nursing Graduate

Tools

Care Delivery Documentation Systems

Basic Office Equipment

Job description

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states, providing over 2.5 million patient visits annually. It is one of the nation's leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Company is an equal employment opportunity employer. It prohibits discrimination and harassment based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to law), disability, military status, genetic information, or other protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

Responsibilities

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

Qualifications

Education and Work Experience

Required qualifications:

Medical Graduate, PA, or Nursing Graduate.

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

Knowledge of care delivery documentation systems and medical record documents.

Understanding of age-specific needs, disease processes, and related procedures.

Strong clinical knowledge and understanding of pathology/physiology.

Excellent written and verbal communication skills, critical thinking skills.

Excellent interpersonal skills for effective collaboration with physicians, nursing staff, and hospital management.

Preferred qualifications:

Knowledge of inpatient admission criteria.

Ability to work independently in a time-sensitive environment.

Computer literacy and familiarity with basic office equipment.

Assertive personality traits to facilitate physician communication.

Knowledge of Medicare reimbursement systems and coding is a plus.

Prime Healthcare offers competitive compensation and a comprehensive benefits package, including paid time off, 401K, medical/dental/vision coverage, tuition reimbursement, and voluntary benefits. The estimated total compensation for this role ranges from $25.00 to $28.75 per hour, depending on experience, education, credentials, and other factors.