Clinical Documentation Specialist - Utilization Management

Enloe Medical Center, Inc.; Chico (CA); On-site; USD 71,000 - 96,000; Full time

Benefits offered by this job

Zero-premium medical plan (vision)

Dental and prescription insurance

Employer match retirement

PTO accrual from day one

Extended sick leave

Flexible Spending Accounts

Employee Assistance Program

Educational Assistance

Job summary

Enloe Health is seeking a Clinical Documentation Specialist (CDS) to review medical records and ensure accurate severity of illness. You will interact with physicians, clinical staff, and HIM professionals to identify documentation improvements and provide clarifications.

Minimum five years of inpatient nursing experience is required; California RN licensure and CPR certification are needed. A Bachelor’s or Master’s in Nursing is preferred, with CCDS certification encouraged.

Qualifications

• Minimum: Five years inpatient acute care nursing experience.
• CDS experience and hospital operations exposure are desirable.
• Bachelor’s or Master’s degree in nursing; CA RN licensure.

Responsibilities

• Review medical records to ensure accurate severity of illness.
• Identify documentation improvements and clarify clinically questionable cases.
• Collaborate with physicians, HIM staff, and education teams.

Skills

Verbal and written communication

Critical thinking

HIPAA compliance

Nursing knowledge

Interpersonal skills

Education

California RN license

Bachelor's or Master's in Nursing

CDDS/CDS experience

Tools

Database software

Presentation software

Word processing

Job description

Enloe Health is seeking a Clinical Documentation Specialist (CDS) to review medical records and ensure accurate severity of illness. You will interact with physicians, clinical staff, and HIM professionals to identify documentation improvements and provide clarifications.

Minimum five years of inpatient nursing experience is required; California RN licensure and CPR certification are needed. A Bachelor’s or Master’s in Nursing is preferred, with CCDS certification encouraged.