Clinical Documentation Specialist - CDI - CDS

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POST DATE 8/17/2016
END DATE 10/11/2016

SCL Health Grand Junction, CO

SCL Health
Grand Junction, CO
AJE Ref #
Job Classification
Full Time
Job Type
Company Ref #
Mid-Career (2 - 15 years)
Bachelors Degree


SCL Health is a faith-based, nonprofit health care organization headquartered in Broomfield with facilities located in Colorado, Kansas and Montana. SCL Health operates:

9 hospitals
4 safety net clinics
1 children's mental health treatment center
190 ambulatory service centers
Interested in making a difference? Then check us out. Our rich heritage and mission, and our focus on health care delivery that values person-centered care, excellence and accountability are a winning combination as we bring healthand hopeto our patients.

Our ministry is dedicated to improving the health of the communities and individuals we serve, especially those who are poor and vulnerable.


The Clinical Documentation Specialist is responsible for reviewing medical records to facilitate the accurate representation of the severity of illness by improving the quality of the physicians clinical documentation. This involves extensive record review, interaction with physicians, HIM professionals, and nursing staff. The CDS will participate in team meetings and education of staff is a key role.

* Accurate and timely record review

* Recognize opportunities for documentation improvement

* Ability to access, manage and update patient medical records through Hospital Electronic Medical Record Information System

* Formulate clinically credible queries

* Effective and appropriate communication with physicians

* Timely follow up on all cases especially those with queries

* Participate in Task Force meetings

* Manage multiple priorities

* Knowledge of Medicare Part A

* Familiar with Medicare Part B

* Communicates with HIM staff and resolves discrepancies

The information above is for summary purposes, and is not intended to be a comprehensive list of essential functions.

Bachelor degree related to the applicable clinical area of responsibility, such as nursing, nursing administration, rehabilitation, or other clinical field, required

Valid license or certification in the applicable clinical area of responsibility, in the State of practice, required

Three to five years of experience in progressive clinical positions, required
Excellent communication and interpersonal skills, required