Welcome page Returning Candidate? Log back in! Clinical Document Specialist Facility Paradise Valley Hospital Location US-CA-National City ID 2025-194803 Category Business Professional Position Type Full Time Shift Days Job Type Non-Exempt Overview Paradise Valley Hospital is the South Bay’s oldest hospital, the second oldest hospital in all of San Diego County, and the largest employer in National City. For more than 100 years, Paradise Valley Hospital has served San Diego faithfully, proud of our heritage and providing numerous programs and services to meet the changing needs of our community. Our 291-bed, acute care hospital features the San Diego Spine & Joint Center, a highly credentialed acute rehabilitation center, our Paradise Health & Senior Center, a fully equipped and modern cardiac catheterization lab, and comprehensive inpatient and outpatient surgical services, and 24-hour emergency services. Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Why Prime Healthcare? Paradise Valley Hospital; a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.   Paradise Valley Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to:Paid Time Off401K Retirement PlanOutstanding Medical, Dental, Vision coverageTuition ReimbursementMany more voluntary benefit options!Company is an equal opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local law. The company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

 

Responsibilities

The Clinical Documentation Specialist (CDS) is responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records. These reviews are to evaluate whether the clinical documentation is reflective of the quality-of-care outcomes and reimbursement compliance for acute care services provided. The CDS works closely with the medical staff to facilitate appropriate clinical documentation of patient care. Other responsibilities include conducting documentation for inpatient admission criteria, initial and extended-stay concurrent reviews on all selected admissions and documenting findings. The CDS will perform other duties as assigned or required.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

 

1. Medical Graduate, PA or Nursing Graduate required
2. Minimum of three one (1+) year’s clinical experience in an acute care setting
3. Knowledge of care delivery documentation systems and related medical record documents
4. Knowledge of age-specific needs and the elements of disease processes and related procedures
5. Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes.
6. Excellent written, and verbal communication skills and critical thinking skills.
7. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, and hospital management staff.
8. Working knowledge of inpatient admission criteria.
9. Ability to work independently in a time-oriented environment.
10. Computer literacy and familiarity with the operation of basic office equipment.
11. Assertive personality traits to facilitate ongoing physician communication.
12. ECFMG Certificate or RN license preferred.
13. Prior Case Management Experience preferred.
14. Working knowledge of the Medicare reimbursement system and coding structures preferred.
15. Current BCLS (AHA) certificate upon hire and maintain current preferred.
16. ACLS Certificate preferred.

 

Paradise Valley Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $28.00 to $43.40. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

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