Providence Health & Services

Clinical Documentation Specialist RN


PayCompetitive
LocationIrvine/California
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 248864

      Clinical Documentation Specialist RN: Remote

      The Clinical Documentation Specialist (CDS) is responsible for supporting and facilitating the overall quality of medical record documentation by improving the completeness, accuracy, and reliability of clinical documentation. A key success factor of this process is educating providers through the query process and independently supporting them with education and feedback to accurately reflect the patient's true clinical picture within the medical record. In partnering with the coding team, the CDS will be an expert with ICD-10, MS-DRG and APR-DRG assignment.

      The CDS's primary responsibility will be to obtain appropriate clinical documentation through extensive review of provider, nursing, ancillary, and other patient caregivers' documentation, to ensure that appropriate documentation and reimbursement is received for the level of services rendered to patients. The CDS exercises their judgment and discretion to ensure the clinical information utilized in analyzing and reporting outcomes is complete and accurate. On an ongoing basis, the CDS is responsible for supporting the direction and focus of education for providers and the coding staff within their assigned scope of work. The CDS must exercise independent judgment, critical thinking, ability to work independently while interpreting and following CMS guidelines, organizational policies, and procedures.

      Providence caregivers are not simply valued – they’re invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

      Required Qualifications:

      • Associate of Science in Nursing or
      • Upon hire: Registered Nurse License
      • 5 years Clinical experience in acute care setting within the last 5 years OR 2-3 years Clinical Documentation Integrity experience

      Preferred Qualifications:

      • Bachelor of Science in Nursing or a Bachelor of Science degree in healthcare or other related field (Foreign Medical Graduate)
      • 1 year understanding of MS-DRG and APR-DRG assignment and fundamentals of establishing a DRG
      • 1 year ICD-10 experience and/or understanding
      • 1 year Clinical Documentation Specialist experience in acute care setting

      Salary Range by location:
      NorCal (Napa, Sonoma)
      Min: $51.86, Max: $83.74
      Southern California, NorCal (Humboldt)
      Alaska (Kodiak, Seward, Valdez)
      Min: $46.22, Max: $74.64
      WA Puget Sound
      Oregon (Portland)
      Alaska (Anchorage)
      Min: $44.34, Max: $71.60
      Oregon (Hood River, Medford, Seaside)
      Min: $41.34, Max: $66.75
      Eastern Washington (Richland, Spokane, Walla Walla)
      Min: $39.46, Max: $63.71
      Montana
      Min: $35.70, Max: $57.65
      Texas
      Min: $33.82, Max: $54.61

      Why Join Providence?

      Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

      Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

  • About the company

      Providence Health & Services is a not-for-profit, Catholic health care system operating multiple hospitals across seven states, with headquarters in Renton, Washington. The Providence affiliate family includes: Covenant Health, Facey Medical Group, Kadlec, Pacific Medical Centers and Swedish Health Services.