Remote Clinical Documentation Specialist en MemorialCare Health Services

%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3ETitle:%3C/strong%3E Clinical Documentation Specialist%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3ELocation:%3C/strong%3E Fountain Valley, CA / Predominately Remote%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EDepartment:%3C/strong%3E Document Improvement%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EStatus:%3C/strong%3E Full-Time%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EShift:%3C/strong%3E Days (8hr)%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EPay Range*: %2455.05/hr - %2479.83/hr%3Co:p%3E%3C/o:p%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Co:p%3E %3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EMemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare%27s recognition as a market leader and innovator in value-based and other care models.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EAcross our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability.%26nbsp;Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3E%3Cu%3EPosition Summary%3Co:p%3E%3C/o:p%3E%3C/u%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EThis position is responsible for initiating and completing the concurrent review of medical records to ensure the information documented accurately reflects the patient’s severity of illness, clinical treatment, risk of mortality, and quality and intensity of care.%26nbsp; Reviews include verifying that clinical conditions are documented in diagnostic format to ensure appropriate reporting, identifying query opportunities to clarify or validate clinical conditions, assigning principal and secondary diagnoses and/or procedures for appropriate designation of DRG and LOS, and identifying quality indicators and codes that contribute to reportable quality metrics and compliance standards.%26nbsp;%26nbsp;%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EEssential Functions and Responsibilities of the Job%3Co:p%3E%3C/o:p%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Col%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EComputer, internet, and word processing experience required.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EExcellent verbal and written communication skills.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3ECollaborative interaction and effective education skills with the medical staff and ancillary departments to collegially discuss clinical aspects of care is vital.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EAbility to perform accurate patient chart review analysis and data collection.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EAbility to prioritize essential functions and multitask utilizing multiple resources and applications (including but not limited to:%26nbsp;3M 360, EPIC, Outlook, Microsoft Teams, Zoom, SharePoint)%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EAbility to demonstrate integrated knowledge of job specific competencies.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EFollow company and department policies, procedures, and directives.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EMaintain HIPAA and patient confidentiality at all times.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EAbility to work autonomously and productively in a remote work environment while adhering to all company security policies and remote-work agreement.%26nbsp;%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EAbility to interact in a positive and constructive manner.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3ECompletes initial concurrent review process and subsequent reviews for all selected admissions to initiate the clinical documentation review process. Documents findings and identifies clinical documentation clarification(s) opportunities regarding diagnosis specificity, documentation inconsistencies/conflicts, quality of care/patient safety, and resource utilization.%26nbsp;%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EIdentifies principal diagnosis, secondary diagnoses, and procedures to assign a concurrent working DRG based on the clinical picture. Collaborates with medical staff, medical records coder, and CDI leadership to determine a final DRG that supports an accurate reflection of severity of illness, risk of mortality, and utilization of resources. Reconciles DRG mismatches with coders and CDI coordinators in a respectful and positive manner.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EQueries the medical staff to obtain accurate and complete chart documentation that appropriately supports the severity of illness. Maintains department, organization, and industry compliance in query process.%26nbsp;%26nbsp;%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EMeets department productivity for CDI reviews inclusive of initial reviews, secondary reviews, retrospective reviews, DRG mismatch analysis, and query follow-ups.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EMeets minimum threshold in monthly audits for quality, compliance, workflow, and outcomes.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EEmploys strong understanding of coding guidelines and working knowledge of CMS, NCHS, and AHA guidelines and their impact on reimbursement, quality metrics, utilization management, and physician/health system statistics.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3ETakes responsibility for various projects as assigned by management and performs any additional/miscellaneous duties (not inclusive of job description) as requested by the management team within the scope of knowledge/ability.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cp%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E“Other duties as assigned” %26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3Cp%3E%26nbsp;%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3C/ol%3E%3Cp class=%22MsoNormal%22 style=%22margin:0in 0in 0in .25in;%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Co:p%3E %3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Ci%3E%3Cspan style=%22line-height:107%;%22%3E*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. %3C/span%3E%3C/i%3E%3C/span%3E%3Cspan style=%22background-color:white;color:black;font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Ci%3E%3Cspan style=%22line-height:107%;%22%3EHealth and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...%3C/span%3E%3C/i%3E%3C/span%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Ci%3E%3Cspan style=%22line-height:107%;%22%3ECheck out our%26nbsp;%3C/span%3E%3C/i%3E%3C/span%3E%3Ca target=%22_blank%22 rel=%22noopener noreferrer%22 href=%22https://careers.memorialcare.org/benefits%22%3E%3Cspan style=%22color:windowtext;font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Ci%3E%3Cspan style=%22line-height:107%;%22%3EMemorialCare Benefits%26nbsp;%3C/span%3E%3C/i%3E%3C/span%3E%3C/a%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Ci%3E%3Cspan style=%22line-height:107%;%22%3Efor more information about our Benefits and Rewards.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/i%3E%3C/span%3E%3C/p%3E
%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3E%3Cu%3EMinimum Requirements%3Co:p%3E%3C/o:p%3E%3C/u%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EQualifications/Work Experience:%3Co:p%3E%3C/o:p%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3EA minimum of 5 years CDI inpatient experience in an acute care facility required.%26nbsp;%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3EClinical experience (RN, PA, NP, MD, or FMD) and/or Coding (CCS) required.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3EMust reside in California.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EEducation/Licensure/Certification:%3Co:p%3E%3C/o:p%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3EMD, BS or higher in healthcare related field, or licensed coder (CCS) with strong clinical knowledge base and background.%26nbsp;%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3EClinical licensure (RN, PA, NP, MD, or FMD) and/or Coding certification (CCS) required.%26nbsp;%26nbsp;%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3ECCDS and/or CDIP certification preferred.%26nbsp;%26nbsp;%3C/span%3E%3C/span%3E%3C/li%3E%3C/ul%3E Solicitar ahora