$152k-$228k Clinical Documentation Specialist active

Involves the evaluation of provider documentation, utilizing clinical expertise to ensure that patient’s severity of illness and risk of mortality are accurately portrayed in the medical record for specificity and accuracy in the quality metrics. Interacts with physicians, clinical staff, and health information management coding staff to ensure that documentation of all diagnoses and any co-existing co-morbidities are a complete reflection of the patient’s clinical status and care. Applies extensive knowledge of clinical documentation practices and advanced professional concepts to substantial projects of large scope and high degrees of complexity.

The final salary and offer components are subject to additional approvals based on UC policy.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

The salary range for this position is $152,000 – $228,000 (Annual Rate).

To learn more about the benefits of working at UCSF, including total compensation, please visit:

• Advanced knowledge and experience with the clinical and operational issues involved with inpatient care, including the diagnoses, treatments, medical procedures, case management, discharge, and other practices that are part of effective clinical care systems.
• Advanced critical thinking and problem solving skills to manage multiple levels of information and responsibilities, and quickly assess highly complex problems to develop an expedient path of resolution.
• Advanced interpersonal and educational skills, with the ability to ability to collaborate effectively on highly complex projects with clinical-care professionals, and to provide education, training, and resources on coding, reimbursement, and other clinical documentation issues.
• Advanced ability to interpret and effectively convey highly complex clinical and technical information both verbally and in writing, and to make cogent presentations, analyses, and reports.
• In depth ability to collaborate effectively with senior staff and management across departments and to provide counsel and guidance on highly-complex issues of functionality, clinical quality, efficiency, and pr ciency in relevant multiple technology applications.
• Advanced computer proficiency in relevant multiple technology applications.
• 5+ years of related work experience.
• Bachelor’s degree in nursing or related area, and / or equivalent combination of experience / training.
• Five years of current/recent clinical experience working in ICU, CCU, ED or Med Surge or a combination of education and experience
• Successful completion of Nuance pre-hire exam
• This position requires flexibility to orient and work at all UCSF Medical Center locations.

• Advanced knowledge of data collection, analysis, reporting techniques and systems, and of health care information management systems related to clinical care, documentation, reporting, and reimbursement.
• Advanced organizational and project management skills, with the ability to lead a team, prioritize tasks, and see highly complex projects through from inception to completion on schedule.
• In depth understanding of the concepts, principles, practices, and regulatory requirements of accurate clinical documentation and medical record review, including SOI, ROM, HIMS, ICD-10 coding, DRG systems, standards of compliance, relevant Medicare Part A and Part B guidelines and other reimbursement processes.
• CA Nursing license
• Certification as Clinical Documentation Specialist (CCDS)

Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report – UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.

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