CDS Trainee - SCDNNJ Medical Records Fac#01

Saint Clare's Health; Denville (NJ); On-site; USD 55,000 - 65,000; Full time

Benefits offered by this job

Paid time off

401K retirement plan

Medical

Dental

Vision coverage

Tuition reimbursement

Job summary

Saint Clare's Health seeks a CDS Trainee to perform clinically based reviews of inpatient records, ensuring documentation reflects quality of care and eligibility for reimbursement. You will work with physicians and hospital staff to optimize clinical documentation and admission criteria.

The role requires six months of acute-care experience, strong communication, and ability to work independently in a fast-paced hospital setting.

Qualifications

• 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.

Responsibilities

• Conduct clinically based concurrent and retrospective reviews of inpatient medical records to evaluate documentation reflects quality-of-care outcomes and reimbursement.
• Collaborate closely with the medical staff to facilitate appropriate clinical documentation of patient care.
• Document inpatient admission criteria, initial and extended-stay concurrent reviews on all selected admissions and findings.

Skills

Communication skills

Critical thinking

Interpersonal skills

Independent work

Computer literacy

Education

Medical Graduate, PA or Nursing Graduate

Job description

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!

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 .

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.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required Qualifications

• 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

Saint Clare's Health offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs.

• paid time off
• a 401K retirement plan
• medical
• dental
• vision coverage
• tuition reimbursement
• many more voluntary benefit options

A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $XX.00 to $XX.00. 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. 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