
This position uses clinical knowledge and knowledge of coded data for documentation requirements to improve overall patient quality, capture severity, acuity and risk of mortality. In addition to have expertise in understanding the clinical documentation required for the completeness of the patient records using a multidisciplinary team process.
Education/License/Certification:
Graduate from an accredited school of nursing (BSN required). Current licensure to practice as a Registered Nurse in the State of California. Or Graduate from an accredited RHIA or RHIT program (AA or BS/BA required); Or Medical Doctor license outside/inside the US.
Qualifications:
Minimum of 3-5 years clinical experience (i.e. inpatient, clinical documentation, discharge planning, case management.
Strong interpersonal, communication (verbal, non-verbal, and listening skills). Understand Adult Learning Theory. Competent computer skills including word processing, spreadsheets, and presentation software. Must have strong analytical skills. Understand coding classifications systems such as, but not limited to ICD-9 CM, Current Procedural Terminology (CPT), Healthcare Common Procedural Coding (HCPCS), MS-DRG, HCC strongly preferred.
Demonstrated ability to conduct and interpret quantitative/qualitative analysis. Proven leadership skills in project management and consulting. Must exhibit efficiency, collaboration, candor, openness, and results orientation.
Preferred Qualifications:
For HIM professional a certificate is required in one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist – Physician (CCS-P) 8-10 years of inpatient coding experience, including MS-DRG, APR-DRG or similar methodology.