With 118 beds and more than 400 physicians on its medical staff, Pali Momi Medical Center offers a full range of services for the communities of Central and West O'ahu. The hospital has delivered many medical firsts for the community, including Central and West O'ahu’s only interventional cardiac catheterization unit to detect and treat heart disease, a fully integrated minimally invasive surgical suite, a comprehensive women’s center, CT scan and MRI services, and the state’s first retina center. Pali Momi is the only facility in Hawai'i that uses a team triage approach in its emergency room, where patients are promptly evaluated by an emergency physician. Health Information Services (HIS) processes patient medical records and releases health information to patients, physicians, and other outside facilities for treatment, payment, or review. HIS is the custodian and gatekeeper for privacy of the organization’s medical records and also generates the coding procedures for data collection, research, and reimbursement. With the widespread computerization of health records and other information sources, including hospital administration functions and health human resources information, health informatics and health information technology are being increasingly used in the health care sector. If you are highly organized and detail-oriented, you can help to manage our clinical records according to the highest ethical standards of patient privacy and security. As the Clinical Documentation Specialist, you will work to improve the overall quality of medical record documentation to ensure compliance with Medicare and Medicaid (CMS) guidelines and to expedite reimbursement. You will use both clinical and coding knowledge to obtain documentation through extensive interaction with physicians, nursing, other patient caregivers, Case Management and Health Information Management staff. You will also ensure that the clinical information used in measuring and reporting outcomes is complete, accurate, and that reimbursement is received for services rendered to patients with DRG-based payers. You will also educate members of the patient care team on documentation guidelines. We are looking for someone with exceptional organizational and communication skills, attention to detail and protocol and a commitment to delivering the highest quality health care to Hawai‘i’s people. - - Location: - - Pali Momi Medical Center - - Work Schedule: - - Day - 8 Hours - - Work Type: - - Full Time Regular - - FTE: - - 1.000000 - - Bargaining Unit: - - Non-Bargaining - - Exempt: - - Yes - - Req ID - - 33134 - - Pay Range: - - 127,691 - 159,619 USD per year - - Category: - - Health Information Management - - Minimum qualifications: - - Bachelor’s degree and/or equivalent combination of education, training and experience. Current Hawai'i Registered Nurse License. Five (5) years of clinical experience in an acute care setting that include inpatient bedside nursing. - - Preferred Qualifications: - - Clinical Documentation Improvement (CDI) certification. Experience with Inter. Qual, Milliman or other nationally recognized Utilization Management criteria. Experience with DR - Gs or inpatient ICD-10-CM/ PCS coding.