The Clinical Documentation Specialist (CDS) bears overall responsibility for assisting with physician documentation, working with physicians and nurses on education for documentation needs, communicating and collaborating with physicians, their office staff and staff of ancillary departments regarding documentation methodology to include capturing the appropriate severity and acuity levels
- Active license as a Registered Nurse or Equivalent Clinical knowledge obtained through Medical School.
- 5 years as Registered Nurse, LPN or Equivalent, such as a graduate of a foreign medical school.
- Knowledge of patient care delivery documentation and related medical record documents. Strong broad-based clinical knowledge and understanding of Pathology/Physiology of the disease process. Knowledge of care delivery documentation systems and related medical record documents. Excellent written and verbal communication skills. Excellent clinical & critical thinking skills. Ability to work independently in a time-sensitive environment. Assertive personality to facilitate ongoing physician communication. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, hospital management staff and coding staff. Working knowledge of coding logic. Competent literacy and familiarity with the operation of basic office equipment. Working knowledge of Medicare reimbursement system.
El Paso, Texas
The Hospitals of Providence East Campus