The position is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The CDS will provide support and expertise through comprehensive assessment and review of inpatient medical records. The CDS will facilitate accurate DRG assignment and obtain appropriate documentation through extensive interaction with physicians, patient care givers and health information management coding staff to ensure that reimbursement is received for the level of services rendered to the patients
Registered Health Information Management Administrator (RHIA) or Technician (RHIT) graduate of an approved college program for Health Information Management or graduate of the American Medical Record Associate's Independent Study Course for Medical Record Technicians is required.
If not certified must be eligible to take one of the above mention exams, and must obtain credentials / certifications within 12 months of hiring date.
College courses in medical terminology and anatomy and physiology preferred.
Must be efficient and completely accurate in performance of coding tasks.
Must be able to accurately read and decipher handwriting which is difficult to read.
Handwriting of alphabet and numbers must be neat and legible.
Must be able to work with speed and accuracy and with good eye-hand coordination.
Must be able to operate computer terminal and other office machines.
Must demonstrate competency by achieving an accuracy rating of greater than 96% on hospital coding examination. To provide documentation of this to their manager/director.
A minimum of 5 years in area of population to be served is required.
Case Management / Utilization Management and discharge planning experience preferred.
Three (3) years pervious acute hospital inpatient coding experience required.
Must possess a good background in medical terminology and anatomy and physiology as the fundamental of medical science.
Must be knowledgeable of the application of the International Classification of Diseases and Operations, Ninth Revision, Clinical Modification, (ICD-9-CM/ICD-10-CM), and Current Procedural Terminology (CPT), Diagnosis Related Groups (DRG) and Ambulatory Payment Classifications (APC).
Must be familiar with content and arrangement of the medical record.
Must be familiar with the other functions in Medical Records and how they relate to the Coding function.
C. Licenses, Registrations, or Certifications
Registered Health Information Management Administrator (RHIA) preferred
Registered Health Information Management Administrator Technician (RHIT) required
Certified Inpatient Coding Specialist (CCS) required within 12 months of hire
Our Mission: WHY WE EXIST. To extend the healing ministry of Jesus Christ. Our Core Values: WHAT WE BELIEVE IN.DIGNITY Respect for the worth of every person, recognition and commitment to the value of diverse individuals and perspectives, and special concern for the poor and underserved. INTEGRITY Honesty, justice, and consistency in all relationships. EXCELLENCE High standards of service and performance. COMPASSION Service in a spirit of empathy, love, and concern. STEWARDSHIP Wise and just use of talents and resources in a collaborative manner.Our Vision: WHAT WE ARE STRIVING TO DO. CHRISTUS HEALTH, a Catholic health ministry, will be a leader, a partner and an advocate in the creation of innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience God's healing presence and love. Our Name and Symbol:WHO WE ARE. CHRISTUS is Latin for "Christ," and proclaims publicly the core of our mission. OUR NAME choice also recognizes the heritage of our two congregational sponsors, the Sisters of Charity of the Incarnate Word in Houston and San Antonio. Jesus Christ is the Incarnate Word, the Word of God made flesh. It is, theref...ore, only fitting that it is in another form of His name that our health ministries are called together. OUR SYMBOL Reflects the healing ministry of Jesus Christ - a combination of a medical cross and a religious cross. The flowing banner on the cross is a common symbol of the risen Christ, while the royal purple signifies Christ. The flowing banner also conveys a sense of motion as we move forward into a new era of service to our communities.