Job description

Overview:
Join an award-winning team of dedicated professional committed to our core values of quality, compassion and community! Lower Bucks Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Lower Bucks Hospital is an acute care, community hospital serving the Lower Bucks County region with medical, surgical, and emergency care. The hospital is part of Prime Healthcare's Pennsylvania Region. Prime Healthcare Pennsylvania Region includes Roxborough Memorial Hospital in Philadelphia, Lower Bucks Hospital in Bucks County, and Suburban Community Hospital in Montgomery County.

Prime's hospitals in Pennsylvania are certified by The Joint Commission as Primary Stroke Centers and have won multiple awards through Healthgrades and the Get With The Guidelines Quality Achievement Awards though the American Heart Association. Our hospitals offer medical, surgical, and emergency care, which includes diagnostic radiology, lab services, behavior health, heart care, rehabilitation, family medicine, wound care, and residency programs.

Through high quality medical care, educational programs, and community outreach services, our hospitals treat all members of our communities with respect and compassion. For more information, visit www.lowerbuckshosp.com.

Responsibilities:
The Clinical Documentation Specialist (CDS)requires Medical Graduate, PA or Nursing Graduate required. and is responsible conducting clinically based concurrent and retrospective reviews of inpatient medical records. This review is to evaluate that the clinical documentation is reflective of quality of care outcomes and reimbursement compliance for acute care services provided. The CDS will work closely with the medical staff to facilitate appropriate clinical documentation of patient care. Other responsibilities include conducting documentation for inpatient admission criteria, initial and extended-stay concurrent reviews on all selected admissions and documenting findings.

Qualifications:
EDUCATION, EXPERIENCE, TRAINING

1. Medical Graduate, PA or Nursing Graduate required.
2. ECFMG Certificate or RN license preferred.
3. Please note that in order to be promoted to CDS I position, the Employee must meet certain performance standards as defined by the Hospital/ Department.
4. Minimum of 1+ years clinical experience in an acute care setting.
5. Knowledge of care delivery documentation systems and related medical record documents.
6. Knowledge of age-specific needs and the elements of disease processes and related procedures.
7. Strong broad-based clinical knowledge and understanding of pathology / physiology of disease processes.
8. Excellent written and verbal communication skills. Excellent critical thinking skills.
9. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, and hospital management staff.
10. Working knowledge of inpatient admission criteria.
11. Ability to work independently in a time-oriented environment.
12. Computer literacy and familiarity with the operation of basic office equipment.
13. Assertive personality traits to facilitate ongoing physician communication.
14. Working knowledge of Medicare reimbursement system and coding structures preferred.
15. Current BCLS (AHA) certificate upon hire and maintain current; preferred.
16. ACLS preferred

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

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