Apply Now Clinical Documentation Specialist Job in San Antonio

Summary:

The Clinical Documentation Specialist (CDS) position is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The CDS will provide support and expertise through comprehensive assessment and review of inpatient medical records. The CDS will facilitate accurate DRG assignment and obtain appropriate documentation through extensive interaction with physicians, patient caregivers and health information management coding staff to ensure that reimbursement (reflecting proper quality of care and appropriate reimbursement) is received for the level of services rendered to the patients.

Requirements:

Foreign Medical Graduate (license not required), OR
Physician’s Assistant, OR
Registered Nurse (ADN required; BSN highly preferred)
A minimum of 3 years of experience in area of population to be served is required
Three (3) years pervious acute hospital inpatient coding experience highly preferred
ECFMG certification (preferred for Foreign Medical Graduates)
Current PA or RN license required, as appropriate
Certified Clinical Documentation Specialist (CCDS) highly preferred

Work Type: 

Full Time