Job Description
The Clinical Documentation Specialist works independently and is responsible for performing clinical chart
reviews and pre-charting on risk adjustable patient populations. The Clinical Documentation Specialist
exercises critical thinking by applying clinical knowledge to correlate relevant diagnoses for the primary
care physician (PCP) to consider at the time of the face to face visit. The Clinical Documentation Specialist
will also be responsible for tracking and verifying all their findings.
Leads or provides education/training to clinical care and administrative support team members regarding
the clinical documentation requirements essential for risk adjustable diagnoses and their impact on
reimbursement and regulatory requirements set forth by CMS and other regulatory entities. Assists in
developing educational materials as needed.
Qualifications
Education
- High School Diploma/GED - minimum
- Bachelor's Degree Bachelor's Degree in Nursing or Health Information Management. - preferred
Experience
- 3 years Medicare risk adjustment coding & documentation required
- 2 years Experience providing training information to clinical and administrative
staff preferred - 3 years Experience using software such as Microsoft Office including Excel and
PowerPoint to develop presentations preferred - 1 year Exposure to risk adjustment analytics platform(s) to gain insights into
risk adjustment performance and opportunities required
Licenses and Certifications
- Valid Clinical CA license preferred (PA, NP, LVN or RN)
- Registered Health Information Administrator preferred
- AHIMA or AAPC coding credential and/or registration (One or more of the following: CDIP, CDEO, CCS, CPC, CRC) required
Our compensation philosophy
We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above takes into account the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role. Pay Transparency Non Discrimination Provision (PDF) (opens in new window)
Diversity and Inclusion at Cedars-Sinai
We are caretakers and innovators committed to the pursuit of equitable healthcare. But health equity is not possible without representation. Our commitment to diversity goes beyond demographics or checking boxes. Our people must reflect the diverse identities, experiences and geographies of the communities and patients we serve – because that’s what our patients, colleagues and communities deserve. Quality Care and Research—For All, By All (opens in new window).
Cedars-Sinai is an Equal Employment Opportunity employer.
Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.
Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.
At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu) and COVID-19. For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines such as COVID-19 as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy. Cedars-Sinai’s AA Policy Statement (PDF) (opens in new window)