CDS Trainee

St. Francis Medical Center; Lynwood (CA); On-site; USD 36,000 - 40,000; Full time

Benefits offered by this job

Paid time off

401K

Medical coverage

Tuition reimbursement

Job summary

Prime Healthcare is seeking a CDS Trainee to conduct clinically based concurrent and retrospective reviews of inpatient medical records to ensure documentation accurately reflects quality of care and reimbursement. You will collaborate closely with physicians and staff to facilitate appropriate clinical documentation of patient care.

The role supports inpatient admission criteria reviews, initial and extended-stay concurrent reviews, and documentation of findings.

Qualifications

• Background in clinical documentation and inpatient reviews.
• Experience with acute care documentation and coding awareness is preferred.
• Strong communication and critical thinking skills.

Responsibilities

• Conduct clinically based concurrent and retrospective reviews of inpatient records to evaluate documentation reflects quality of care and reimbursement.
• Collaborate with medical staff to ensure appropriate clinical documentation of patient care.
• Document inpatient admission criteria and initial/extended-stay reviews for selected admissions.
• Perform additional duties as assigned.

Skills

Clinical documentation

Inpatient reviews

Collaboration with medical staff

Time management

Education

Graduate degree in Medicine/PA/Nursing

Job description

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one 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!

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 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

• Medical Graduate, PA or Nursing Graduate.
• Minimum of six (6) months of clinical experience in an acute care setting in any capacity.
• Knowledge of care delivery documentation systems and related medical record documents.
• Knowledge of age-specific needs and the elements of disease processes and related procedures.
• Strong broad-based clinical knowledge and understanding of pathology / physiology of disease processes.
• Excellent written and verbal communication skills. Excellent critical thinking skills.
• Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff and hospital management staff.
• Working knowledge of inpatient admission criteria.
• Ability to work independently in a time-oriented environment.
• Computer literacy and familiarity with the operation of basic office equipment.
• Assertive personality traits to facilitate ongoing physician communication.

Preferred Qualifications

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

Pay Transparency

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $26.04 to $28.75. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

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. 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

Privacy Notice

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