Clinical Documentation Specialist - Elevate Acute Care & Reimbursement

Prime Healthcare; Inglewood (CA); Hybrid; USD 70,000 - 100,000; Full time

Job summary

Centinela Hospital Medical Center, part of Prime Healthcare, seeks a Clinical Documentation Specialist to review inpatient records for accuracy of care documentation and reimbursement. The CDS will work closely with medical staff to optimize documentation, admission criteria, and chart completeness in a busy acute-care setting.

The ideal candidate has acute-care experience and strong communication, critical thinking, and teamwork skills to improve clinical documentation and support patient care

Qualifications

• Medical graduate, PA or nursing graduate with acute care exposure.
• Clinical documentation systems knowledge and patient care coding basics.
• Strong written and spoken communication, analytical thinking.
• Ability to work independently in fast-paced hospital settings.
• Familiarity with age-specific care needs and disease processes.
• Experience with inpatient admission criteria and documentation.

Responsibilities

• Perform concurrent and retrospective reviews of inpatient records.
• Ensure clinical documentation reflects quality of care and reimbursement.
• Collaborate with medical staff to improve documentation of patient care.
• Support admission criteria reviews and ongoing chart documentation.

Skills

Communication skills

Verbal communication

Critical thinking

Interpersonal skills

Independent work

Computer literacy

Assertive personality

Clinical knowledge

Education

Medical graduate / PA / Nursing graduate

ECFMG certificate or RN license

BCLS (AHA) certificate

ACLS certificate

Job description

Centinela Hospital Medical Center, part of Prime Healthcare, seeks a Clinical Documentation Specialist to review inpatient records for accuracy of care documentation and reimbursement. The CDS will work closely with medical staff to optimize documentation, admission criteria, and chart completeness in a busy acute-care setting.

The ideal candidate has acute-care experience and strong communication, critical thinking, and teamwork skills to improve clinical documentation and support patient care