Clinical Documentation Integrity
Apply NowCompany: CHOC - Children's Health Orange County
Location: Orange, CA 92867
Description:
Work Location
Orange, California
Work Shift
Day - 08hrs (United States of America)
Why CHOC?
At CHOC, we strive to be the leading destination of children's health by providing exceptional and innovative care. We are responsible for the overall health of our community's pediatric population in our hospitals, clinics, and practices. And because of our breadth of care, your career at CHOC can be as diverse and fulfilling as you determine. CHOC's compensation structure, benefits offerings, and career development programs are geared to helping you achieve your professional and personal goals. Apply now to see where your career at CHOC can take you.
Job Summary
The Clinical Documentation Integrity facilitates review of clinical documentation through concurrent/retro-respective review. Works with providers capturing clinical acuity and severity, which translates into coded data. The CDI role involves extensive record review, interaction with physicians, health information management professionals, coders, and other CHOC clinical staff.
Pay Range
Minimum $45.72 Midpoint $60.58 Maximum $75.43
Rate of pay is determined by various factors, including but not limited to knowledge, skills, competencies, experience, education, as well as position requirements.
Experience
Required: Minimum three years of acute care CDI experience. If the candidate is not a graduate from an accredited RN or LVN nursing program or Foreign Medical Graduate (FMG), then in lieu of requirements CHOC will accept minimum seven years of inpatient hospital coding experience and must be RHIA/RHIT/CCS certified with strong clinical background.
Preferred: Five years of acute care CDI experience. Previous pediatric experience in Med/Surg, Critical Care, Emergency or PACU.
Education
Required: Must meet one of the following requirements: Graduate from an accredited RN or LVN nursing program, OR Foreign Medical Graduate (FMG) *Note - if candidate is not a graduate from an accredited RN or LVN nursing program or Foreign Medical Graduate (FMG), then In lieu of requirements CHOC will accept minimum seven years of inpatient hospital coding experience and must be RHIA/RHIT/CCS certified with strong clinical background.
Preferred: Bachelor's or Master's degree in Healthcare related field.
Training
Required: N/A
Specialized Skills
Required: Knowledge of pathophysiology, advanced clinical expertise, and extensive knowledge of complex disease processes. Strong knowledge of ICD-10 CM, PCS, and query process. Excellent verbal & written communication skills, and strong critical thinking. Understanding of complications, comorbidities, severity of illness, risk of mortality, case mix index, and the impact of procedures on the clinical documentation. Ability to work independently, self-motivated, and adapt to the changing healthcare arena through continuous education. Ability to collaborate and communicate well with providers and other health information management team members. Ability to prioritize multiple tasks in a changing environment. Proficiency in computer use, electronic health record system, and 3M 360 all applications. Ability to seek out changes in healthcare and coding. Knowledge of Core Measure and Patient Safety Indicators.
Licensure
Required: Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP).
Work Environments - Functional Demand:
Sedentary - Very light energy level Lift 10 lbs. box overhead. Lift and carry 15 lbs. Push/pull 20 lbs. cart.
Physical Activity Requirements:
Bending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine motor activities, Push/Pull, Reaching forward, Reaching overhead, Sitting, Squat/kneel/crawl (Squad & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation
Physical Activity Lifting
Lifting (Floor to waist level) - Occasional 0-35%, Lifting (Waist level and above) - Occasional 0-35%
Sensory Requirements:
Color Discrimination, Depth Perception, Far Vision, Hearing, Near Vision
Environment Requirements:
Airborn Communicable Disease, Bloodborne Pathogens, Chemical, Dust Particular Matter, Extreme Noise Levels, Extreme Temperatures, Radiation, Uneven Surfaces or Elevations
Non-Discrimination Statement:
CHOC does not discriminate on the basis of age, race, color, religion, national origin, ancestry, marital status, genetic information, disability, sex, gender (including pregnancy, breastfeeding, childbirth, lactation or related medical conditions), gender identity or expression, medical condition, sexual orientation, veteran status, military or uniformed service member status, or other protected characteristics in accordance with state and federal laws. CHOC will consider for employment qualified applicants with criminal histories, in accordance with the Fair Chance Initiative for Hiring.
We encourage individuals from all backgrounds to apply for positions at CHOC, even if your experience doesn't align perfectly with the listed qualifications for a particular role, as your unique experience may be a great addition to our culture for another one of our opportunities.
If you desire support or accommodations throughout the Talent Acquisition process, please inform your Talent Acquisition Partner.
Orange, California
Work Shift
Day - 08hrs (United States of America)
Why CHOC?
At CHOC, we strive to be the leading destination of children's health by providing exceptional and innovative care. We are responsible for the overall health of our community's pediatric population in our hospitals, clinics, and practices. And because of our breadth of care, your career at CHOC can be as diverse and fulfilling as you determine. CHOC's compensation structure, benefits offerings, and career development programs are geared to helping you achieve your professional and personal goals. Apply now to see where your career at CHOC can take you.
Job Summary
The Clinical Documentation Integrity facilitates review of clinical documentation through concurrent/retro-respective review. Works with providers capturing clinical acuity and severity, which translates into coded data. The CDI role involves extensive record review, interaction with physicians, health information management professionals, coders, and other CHOC clinical staff.
Pay Range
Minimum $45.72 Midpoint $60.58 Maximum $75.43
Rate of pay is determined by various factors, including but not limited to knowledge, skills, competencies, experience, education, as well as position requirements.
Experience
Required: Minimum three years of acute care CDI experience. If the candidate is not a graduate from an accredited RN or LVN nursing program or Foreign Medical Graduate (FMG), then in lieu of requirements CHOC will accept minimum seven years of inpatient hospital coding experience and must be RHIA/RHIT/CCS certified with strong clinical background.
Preferred: Five years of acute care CDI experience. Previous pediatric experience in Med/Surg, Critical Care, Emergency or PACU.
Education
Required: Must meet one of the following requirements: Graduate from an accredited RN or LVN nursing program, OR Foreign Medical Graduate (FMG) *Note - if candidate is not a graduate from an accredited RN or LVN nursing program or Foreign Medical Graduate (FMG), then In lieu of requirements CHOC will accept minimum seven years of inpatient hospital coding experience and must be RHIA/RHIT/CCS certified with strong clinical background.
Preferred: Bachelor's or Master's degree in Healthcare related field.
Training
Required: N/A
Specialized Skills
Required: Knowledge of pathophysiology, advanced clinical expertise, and extensive knowledge of complex disease processes. Strong knowledge of ICD-10 CM, PCS, and query process. Excellent verbal & written communication skills, and strong critical thinking. Understanding of complications, comorbidities, severity of illness, risk of mortality, case mix index, and the impact of procedures on the clinical documentation. Ability to work independently, self-motivated, and adapt to the changing healthcare arena through continuous education. Ability to collaborate and communicate well with providers and other health information management team members. Ability to prioritize multiple tasks in a changing environment. Proficiency in computer use, electronic health record system, and 3M 360 all applications. Ability to seek out changes in healthcare and coding. Knowledge of Core Measure and Patient Safety Indicators.
Licensure
Required: Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP).
Work Environments - Functional Demand:
Sedentary - Very light energy level Lift 10 lbs. box overhead. Lift and carry 15 lbs. Push/pull 20 lbs. cart.
Physical Activity Requirements:
Bending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine motor activities, Push/Pull, Reaching forward, Reaching overhead, Sitting, Squat/kneel/crawl (Squad & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation
Physical Activity Lifting
Lifting (Floor to waist level) - Occasional 0-35%, Lifting (Waist level and above) - Occasional 0-35%
Sensory Requirements:
Color Discrimination, Depth Perception, Far Vision, Hearing, Near Vision
Environment Requirements:
Airborn Communicable Disease, Bloodborne Pathogens, Chemical, Dust Particular Matter, Extreme Noise Levels, Extreme Temperatures, Radiation, Uneven Surfaces or Elevations
Non-Discrimination Statement:
CHOC does not discriminate on the basis of age, race, color, religion, national origin, ancestry, marital status, genetic information, disability, sex, gender (including pregnancy, breastfeeding, childbirth, lactation or related medical conditions), gender identity or expression, medical condition, sexual orientation, veteran status, military or uniformed service member status, or other protected characteristics in accordance with state and federal laws. CHOC will consider for employment qualified applicants with criminal histories, in accordance with the Fair Chance Initiative for Hiring.
We encourage individuals from all backgrounds to apply for positions at CHOC, even if your experience doesn't align perfectly with the listed qualifications for a particular role, as your unique experience may be a great addition to our culture for another one of our opportunities.
If you desire support or accommodations throughout the Talent Acquisition process, please inform your Talent Acquisition Partner.