[Hiring] Clinical Documentation Specialist @BMC Software

Role Description

The Clinical Documentation Specialist (CDS) will provide clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivery to accurately reflect patient severity of illness and risk of mortality.

• Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies.
• Plays a significant role in reporting quality of care outcomes and in obtaining accurate and compliant reimbursement for acute care services.

Qualifications

• Bachelor’s degree in Nursing or Health Information Management is required; equivalent combination of education and experience may be substituted.
• RN or CCS required; CCDS, CDIP preferred.
• Minimum 6 years related experience (i.e. 6 years clinical experience including 3 years inpatient case management experience or 6 years of experience inpatient coding with DRG Validation required).
• Previous CDS experience preferred.

Requirements

• Knowledge of care delivery documentation systems and related medical record documents.
• Knowledge of age-specific needs and the elements of disease processes and related procedures.
• Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes.
• Excellent written and verbal communication skills.
• Excellent critical thinking skills.
• Demonstrated employee and medical staff relationships in the past and ability to maintain those going forward.
• Working knowledge of inpatient admission criteria.
• Ability to work independently in a time-oriented environment.
• Computer literacy and familiarity with the operation of basic office equipment.
• Assertive personality traits to facilitate ongoing physician communication.
• Ability to adapt to changes in workload, work independently, and effectively prioritize work assignments.
• Working knowledge of Medicare reimbursement system and coding structures preferred, but not required.

Benefits

• Compensation Range: $38.05 - $75.33.
• Generous total compensation that includes benefits (medical, dental, vision, pharmacy).
• Contract increases.
• Flexible Spending Accounts.
• 403(b) savings matches.
• Earned time cash out.
• Paid time off.
• Career advancement opportunities.
• Resources to support employee and family wellbeing.

Equal Opportunity

Employer/Disabled/Veterans. According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.