Clinical Documentation Specialist - 8 Hour Days
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Summary
A Clinical Documentation Specialist II at Cedars-Sinai in Los Angeles spends 75% of their time independently performing CDI reviews, creating physician queries and following up, plus producing trend reports; the rest involves mentoring CDS I staff and giving feedback to leadership. Requires acute care CDI/bedside experience and credentials such as CCDS, RN, RHIA, or CDIP.
Job Description
The Clinical Documentation Specialist (CDS) II is a more experienced CDS, spending at least 75% of their time on independent reviews without supervision, creating queries, and facilitating their follow-up. Level 2 specialists create trend reports to provide insights into documentation practices and engage directly with physicians to manage queries. They spend 25% of their time mentoring the CDS I and providing feedback to leadership.Qualifications
Education- High School Diploma/GED - minimum
- Assoc. Degree/College Diploma Clinical Degree – Nursing, Health Information or Foreign Trained Medical graduate. - preferred
Experience
- 2 years Performing CDI reviews within an acute care facility or bedside experience - minimum
- 3 years Utilization review, coding or case management experience - preferred
Licenses and Certifications
- - Upon Hire minimum -OR- Certified Clinical Documentation Specialist (CCDS)
- RN State License - Upon Hire minimum -OR- (Does not need to be CA)
- Registerd Health Info Admin - Upon Hire minimum -OR- (RHIA)
- - Upon Hire minimum -OR- Clinical Documentation Integrity Practitioner (CDIP)