"CLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT Days"

CLINICAL DOCUMENTATION SPECIALIST 4 HX - Clinical Doc Integrity - FT Days

Req ID: 123152

Location: Irvine, California

Division: Medical Center

Department: Clinical Doc Integrity Program

Position Type: Full Time

Salary Range Minimum: USD $119,400.00/Yr.

Salary Range Maximum: USD $230,800.00/Yr.

Who We Are

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit www.ucihealth.org.

Your Role on the Team

Position Summary:

The Clinical Documentation Specialist facilitates improvement in the overall quality, completeness and accuracy of medical record documentation through comprehensive auditing and evaluation of the medical record. Proactively solicits clarification from physicians and other healthcare providers when further specificity is needed to ensure accurate quality data and appropriate reimbursement. Educates others on documentation guidelines on an ongoing basis. Collects and analyzes data to provide reports and make recommendations.

What It Takes to be Successful

Required Qualifications:

• Strong clinical knowledge with ability to interpret clinical documentation
• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must demonstrate customer service skills appropriate to the job
• Must be available for occasional weekend coverage
• Knowledge of laws, rules and regulations regarding appropriate clinical documentation including coding guidelines and coding clinics
• Five (5) or more years of clinical experience as either an RN or Physician and 3 years' experience in CDI
• Familiarity with Utilization Review criteria
• Familiarity of Joint Commission and CMS requirements
• Excellent written and verbal communication skills in English
• Critical thinking skills to problem solve and communicate with physicians on clinical issues
• CDI Credential (CCDS or CDIP)
• Bachelor of Science in Nursing or Medical School Graduate
• Ability to maintain a work pace appropriate to the workload
• Ability to influence and work collaboratively with physicians and all levels of staff
• Ability to establish and maintain effective working relationships across the Health System

Preferred Qualifications:

• Previous experience with comprehensive chart / record review
• Master's degree with an emphasis in health care related fields (nursing, epidemiology, etc.)
• Knowledge of University and medical center organizations, policies, procedures and forms
• Experience working within EPIC and 3M 360 Encompass CAC
• CCS credential