HCA, Hospital Corporation of America Clinical Document Improvement Specialist in Thousand Oaks, California
Hospital Corporation of America (HCA) is a community of 94,000 Registered Nurses and 38,000 active physicians. We have over 1,900 facilities ranging from hospitals, freestanding ER’s, ambulatory surgery centers, and urgent care clinics. Our facility based staff continues to raise the bar in patient care. Ten HCA hospitals have been named in IBM Watson Health’s top 100 best-performing hospitals based on patient satisfaction and operational data.
Los Robles Regional Medical Center is a licensed 382-bed acute care facility. Fully accredited by the Joint Commission, Los Robles Regional Medical Center has the only Level II Trauma Center in Eastern Ventura County and the only Emergency Room in both Los Angeles and Ventura counties coveted EDAP (Emergency Department Approved for Pediatrics) rating. In addition, it is the only hospital certified by both counties as a STEMI designated heart attack center for rapid heart attack response and is a certified Primary Stroke Center. With over 600 physicians on its medical staff, representing over 50 medical specialties, Los Robles is proud to be the community’s most trusted resource for health and a regional destination for care.
We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, and employee stock purchase program. We would love to talk to you about this fantastic opportunity. * * Position Summary: Reporting to the Director of Case Management Department provides clinical based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivery to accurately reflect patient severity of illness and risk of mortality. Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies and ply a significant role in reporting quality of care outcomes and in obtaining accurate and compliant reimbursement for acute care services. Reports To: Director of Case Management Supervises:None
Position Requirements: Licensure/Certifications/Registrations: * Current CA RN license. * Minimum of 5 years of clinical experience in an acute care setting. * Working knowledge of Medicare reimbursement system and coding structures DRG expert manual and case mix index preferred. * Knowledge of care delivery documentation systems and related medical record documents. * Knowledge of age-specific needs and the elements of disease processes and related procedures. * Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes. * Excellent critical thinking skills. * Excellent written and verbal communication skills. * Working knowledge of impatient admission criteria. * Ability to work independently in a time-oriented environment. * Computer literacy and familiarity with the operation of basic office equipment. * Ability to stand and walk for periods of time is required in the performance of job responsibilities. * Assertive personality traits to facilitate ongoing physician communication.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Job: *Case Management
Title: Clinical Document Improvement Specialist
Location: California-Thousand Oaks-Los Robles Hospital and Medical Center
Requisition ID: 00048-11165