CDS Trainee - Medical Records

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Knapp Medical Center, a member of the Prime Healthcare Foundation, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Knapp Medical Center is an award-winning, not-for-profit hospital in Weslaco, Texas. With 227 beds, the community hospital specializes in emergency care, orthopedics, obstetrics and gynecology, wound care, surgery, cardiology, gastroenterology, critical care, and interventional radiology. Knapp serves as the only acute care hospital in the Mid-Valley area, as well as Weslaco's only Level III Trauma Center, Advanced Primary Stroke Center, and Level II Newborn Nursery. Knapp has been providing quality and compassionate healthcare to Mid-Valley residents for 60 years.  More than 300 physicians serve on the hospital's medical staff. Knapp also serves as one of the largest employers in the Mid-Valley, employing more than 450 people.  For more information, please call 956-968-8567 or visit www.KnappMed.org

CDS Trainee is responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records to evaluate the clinical documentation is reflective of quality-of-care outcomes and reimbursement compliance for acute care services provided. CDS Trainee will collaborate 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 Additional duties as assigned.

EDUCATION, EXPERIENCE, TRAINING

Required qualifications:

1.    Medical Graduate, PA or Nursing Graduate.

2.    Minimum of six (6) months of clinical experience in an acute care setting in any capacity.

3.    Knowledge of care delivery documentation systems and related medical record documents.

4.    Knowledge of age-specific needs and the elements of disease processes and related procedures.

5.    Strong broad-based clinical knowledge and understanding of pathology / physiology of disease processes.

6.    Excellent written and verbal communication skills. Excellent critical thinking skills.

7.    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 environment.

10.  Computer literacy and familiarity with the operation of basic office equipment.

11.  Assertive personality traits to facilitate ongoing physician communication.

Preferred qualifications:

1.    Working knowledge of Medicare reimbursement system and coding structures preferred.