CDS - Medical Records FAC#2

Responsibilities

• Conduct clinically based concurrent and retrospective reviews of inpatient medical records.
• Evaluate clinical documentation for quality-of-care outcomes and reimbursement compliance for acute care services.
• Work closely with the medical staff to facilitate appropriate clinical documentation of patient care.
• Conduct documentation for inpatient admission criteria, initial and extended-stay concurrent reviews on all selected admissions, and document findings.
• Perform other duties as assigned or required.

Qualifications

• Medical Graduate, PA or Nursing Graduate required.
• Minimum of three (3) years clinical experience in an acute care setting.
• Knowledge of care delivery documentation systems and related medical record documents.
• 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.
• ECFMG Certificate or RN license preferred.
• Prior Case Management Experience preferred.
• Working knowledge of the Medicare reimbursement system and coding structures preferred.
• Current BCLS (AHA) certificate upon hire and maintain current preferred.
• ACLS Certificate preferred.

Pay

A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $XX.00 to $XX.00. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

About the Role

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Saint Michael's Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Established by the Franciscan Sisters of the Poor in 1867, Saint Michael's Medical Center is a 358-bed regional tertiary-care, teaching, and research center in the heart of Newark's business and educational district and is accredited by The Joint Commission.

Combining state-of-the-art technology, the latest diagnostic and therapeutic procedures, leading-edge research, and a network of highly qualified physicians, nurses, and allied health professionals, the hospital provides top-quality health care services delivered with compassionate care. The first medical institution in New Jersey to perform open-heart surgery, and the first to develop a cardiac catheterization program, Saint Michael's Medical Center is home to the Heart and Vascular Institute, which offers a comprehensive array of innovative cardiac treatments and procedures.

Learn more at www.smmcnj.com.