Clinical Documentation Specialist, Clinician

Job description

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: Conducts concurrent and retrospective reviews of patient medical records to evaluate the accuracy and completeness of clinical documentation, ensuring notes reflect the severity of patient's illness and quality of care. Interacts thoughtfully and effectively with physicians, patient care team, and ancillary departments to gather and clarify medical record documentation. Identifies opportunities for improvement to ensure understanding of documentation requirements, optimize reimbursement for the level of service rendered, and enhance the measurement and reporting of outcomes. EDUCATION: - Graduate of an accredited school of nursing OR Foreign trained physician CERTIFICATION & LICENSURE: - RN-Registered Nurse of California OR Foreign trained physician TYPICAL EXPERIENCE: - 5 years recent relevant experience. - CDIP or CCDS preferred SKILLS AND KNOWLEDGE: - Clinical knowledge of diagnoses, severity of illness, risk of mortality, co-morbidities and complications. - Knowledge of age-specific needs and the elements of disease processes and related procedure...