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CDS - GCH

Facility Garden City Hospital
Location
US-MI-Garden City
ID
2025-211911
Category
Business Professional
Position Type
Full Time
Shift
Days
Job Type
Non-Exempt

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden City Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

 

At Garden City Hospital, we pride ourselves on community involvement and commitment to preserving access to quality and compassionate healthcare. We are a state-of-the-art medical facility with over 300 licensed beds and a teaching hospital, offering medical education to students, residents and fellows from across the country. The residency and fellowship programs offer graduate medical education to more than 80 trainees in specialties. Garden City Hospital has an award-winning staff of over 350 of the area's best and brightest physicians from almost every specialty. Learn more at www.gch.org.

 

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

Responsibilities

The Clinical Documentation Specialist (CDS) is responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records. These reviews are to evaluate whether the clinical documentation is reflective of the quality-of-care outcomes and reimbursement compliance for acute care services provided. The CDS works 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. The CDS will perform other duties as assigned or required.

Qualifications

EDUCATION, EXPERIENCE, TRAINING
 
1. Medical Graduate, PA or Nursing Graduate required
2. Minimum of three one (1+) years clinical experience in an acute care setting
3. Knowledge of care delivery documentation systems and related medical record documents
4. Knowledge of age-specific needs and the elements of disease processes and related procedures
5. Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes.
6. Excellent written, and verbal communication skills and critical thinking skills.
7. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, and hospital management staff.
8. Working knowledge of inpatient admission criteria.
9. Ability to work independently in a time-oriented environment.
10. Computer literacy and familiarity with the operation of basic office equipment.
11. Assertive personality traits to facilitate ongoing physician communication.
12. ECFMG Certificate or RN license preferred.
13. Prior Case Management Experience preferred.
14. Working knowledge of the Medicare reimbursement system and coding structures   preferred.
15. Current BCLS (AHA) certificate upon hire and maintain current preferred.
16. ACLS Certificate preferred.

Employment Status

Full Time

Shift

Days

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