Clinical Documentation Specialist Lead - Clinical Documentation Integrity
CHRISTUS Childrens Hospital
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Clinical Documentation Specialist Lead - Clinical Documentation Integrity Job in San Antonio
The Clinical Documentation Medical Professional (CDMP) Lead is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The CDMP Lead will provide support and expertise through comprehensive assessment and review of inpatient medical records. The CDMP Lead 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 the proper quality of care and appropriate reimbursement) is received for the level of services rendered to the patients. Offers guidance and support to RN Clinical Documentation Specialists and assists the Director as needed.
The CHRISTUS Children’s Hospital, established in 1959, was the first children’s hospital in South-Central Texas. Located downtown, this 190-plus-bed hospital serves more than 70,000 children annually from San Antonio, South Texas and around the world. The hospital (in partnership with Baylor College of Medicine) is the only academic children’s hospital in San Antonio. Our highly specialized services meet the unique medical needs of children, from Pediatric and Neonatal Intensive Care to Children’s Emergency Services, the latest treatments for deformities of the spine including titanium rib implants and halo traction, a Heart Center, a specialized asthma program, a highly regarded Cancer and Blood Disorders Center, and growing maternal services to include consultation, delivery, and maternal fetal medicine.
- One of the following required
- Foreign or domestic Medical School Graduate (license not required)
- Graduate from a Physician’s Assistant program
- Graduate from a Registered Nurse Practitioner program
- 5+ years of experience in the area of population to be served is required
- M.D. or D.O.; ECFMG certification (preferred for Foreign Medical Graduates)
- Current PA or RNP license required, as appropriate
- Certified Clinical Documentation Specialist (CCDS) required
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