CDS – MHMC Data Quality

Overview

At Montclair Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of the Prime Healthcare Foundation, Montclair Hospital Medical Center is actively seeking new members to join its award-winning team!

Founded in 1973, Montclair Hospital, a 106-bed acute care, not-for-profit community hospital, received the “100 Top Hospital” in the nation award from IBM Watson Health, the Patient Safety Excellence award from Healthgrades®, and the Women’s Choice Award® for America’s Best Emergency Care. For more information visit Montclair-hospital.org

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Responsibilities

The Clinical Documentation Specialist (CDS) is responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records. These reviews are to evaluate whether the clinical documentation is reflective of the quality-of-care outcomes and reimbursement compliance for acute care services provided. The CDS works 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. He/She will perform other duties as assigned or required.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required Qualifications:

1. Medical Graduate, PA or Nursing Graduate 2. Minimum of three (3) year’s clinical experience in an acute care setting3. Knowledge of care delivery documentation systems and related medical record documents4. Knowledge of age-specific needs and the elements of disease processes and related procedures5. Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes6. Excellent written, and verbal communication skills and critical thinking skills7. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, and hospital management staff.8. Working knowledge of inpatient admission criteria.9. Ability to work independently in a time-oriented environment10. Computer literacy and familiarity with the operation of basic office equipment11. Assertive personality traits to facilitate ongoing physician communication

Preferred Qualifications:

1. ECFMG Certificate or RN license2. Prior Case Management Experience3. Working knowledge of the Medicare reimbursement system and coding structures 4. Current BCLS (AHA) certificate upon hire and maintain current5. ACLS Certificate

Montclair Hospital Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. 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.