CDS
On-siteRiverdale, Georgia, United States
Riverdale, Georgia, United StatesOn-siteFull TimeEnterprise
Full TimeEnterprise
Job Summary
Conduct clinically based concurrent and retrospective reviews of inpatient medical records to evaluate quality-of-care outcomes and reimbursement compliance. Perform documentation for inpatient admission criteria, initial, and extended-stay concurrent reviews on all selected admissions while documenting findings. Work closely with the medical staff to facilitate appropriate clinical documentation of patient care. Perform other duties as assigned or required.
Required Qualifications
- Medical Graduate, PA or Nursing Graduate
- Minimum of three one (1+) years clinical experience in an acute care setting
- Knowledge of care delivery documentation systems and related medical record documents
- Knowledge of age-specific needs and the elements of disease processes and related procedures
- Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes
- Excellent written, and verbal communication skills and critical thinking skills
- Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, and hospital management staff
- Working knowledge of inpatient admission criteria
- Ability to work independently in a time-oriented environment
- Computer literacy and familiarity with the operation of basic office equipment
- Assertive personality traits to facilitate ongoing physician communication
- Current BCLS (AHA) certificate upon hire and maintain current
Desired Qualifications
- ECFMG Certificate or RN license
- Prior Case Management Experience
- Working knowledge of the Medicare reimbursement system and coding structures
- ACLS Certificate
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