Career Opportunities

Clinical Document Specialist - Case Management - F/T - Days at Careers | UC Irvine Health - 9820

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Updated: October 9, 2017

Job Description & Salary Range

UC Title:                                    Sr Health Info System Analyst

Position Number:                    10006258

Reports to:                               CDI Supervisor

Working Title:                          Clinical Document Specialist

Cost Center:                             Case Management (8727)

Bargaining Unit:                      None

FLSA:                                        Exempt

Job Code:                                 7318

Shift:                                         Day Shift

Hours:                                       40.00


Position Summary: 

The Clinical Documentation Specialist facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation through comprehensive auditing and evaluation of the medical record. Proactively solicits clarification from physicians and other healthcare providers when further specificity is needed to ensure accurate quality data and appropriate reimbursement. Educates others on documentation guidelines on an ongoing basis. Collects and analyzes data to provide reports and make recommendations.


Salary Range: 

Rate    Minimum  $76,400.00    Maximum  $137,600.00


Required Qualifications:

Ability to establish and maintain effective working relationships across the HealthSystem

Ability to influence and work collaboratively with physicians and all levels of staff

Ability to maintain a work pace appropriate to the workload

CDI or Coding credential required within one year of hire (CCDC, CCS, CPC, CDIP, etc)

Complete understanding of acuity levels for specific patient populations

Critical thinking skills to problem solve and communicate with physicians on clinical issues

Excellent written and verbal communication skills in English

Familiarity of Joint Commission and CMS requirements

Familiarity with Utilization Review criteria

Minimum 5 years clinical RN experience and 3 years experience as a CDI Specialist or Foreign Medical Graduate (FMG) with 3 years CDI Specialist experience

Must demonstrate customer service skills appropriate to the job

Must possess the skill, knowledge and ability essential to the successful performance of assigned duties

Previous experience with and / or training in ICD-9 or ICD-10 Coding

Strong clinical knowledge with ability to interpret clinical documentation


Preferred Qualifications:

Bachelor of Science in Nursing

Knowledge of University and medical center organizations, policies, procedures and forms

Master’s degree with an emphasis in health care related fields (nursing, epidemiology, etc.)

Previous experience with comprehensive chart / record review


Physical, Mental & Environmental Demands:

To comply with the Rehabilitation Act of 1973 the essential physical, mental and environmental requirements for this job are listed below. These are requirements normally expected to perform regular job duties. Incumbent must be able to successfully perform all of the functions of the job with or without reasonable accommodation. 

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