Clinical Documentation Specialist

City of Hope

Duarte, CA

Job posting number: #7302678 (Ref:10025752)

Posted: March 5, 2025

Salary / Pay Rate: $42.40 - $59.36 / hour

Application Deadline: Open Until Filled

Job Description

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.

Position Summary:

Coding and CDI certification Clilnical documentations improvement
Coder
consultant working at an institution -
As an essential member of the Coding and Data Quality team, the clinical documentation specialist is responsible for facilitating the improvement to the overall quality and completeness of clinical documentation. Seeks to obtain appropriate and accurate clinical documentation reflective of the severity of illness and risk of mortality. Ability to analyze clinical information and using critical thinking skills identify documentation opportunities. Assigns a working DRG for each inpatient admission for assigned population of patients. Interacts thoughtfully with physicians and other member of the patient care team to gather accurate and timely clinical information for abstraction into designated database. Queries physicians using the approved query process in order to obtain clinical information as identified. Provides ongoing education regarding documentation guidelines to members of the patient care team. Adheres to the standards of ethical coding and City of Hope policies and procedure.

As a successful candidate, you will:

  • Assigns diagnoses and procedure codes to inpatient records based upon clinical record documentation and obtains a working DRG. Partners with Nurse Case Managers and physicians to identify opportunities for documentation improvement to support patient severity of illness and risk of mortality.
  • Query physician(s) for clarification and additional documentation prior to code assignment when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicator).
  • Performs clinical record abstracting and data collection to justify and support optimal reimbursement, data quality, performance improvement analysis, and outcome reporting initiatives. Assigns and sequences ICD-9 diagnosis and procedure codes in compliance with UHDDS, billing requirements, and organization specific policies.
  • Participates as an active member of the multi-disciplinary patient care team. In doing so, shares utilization metrics and acquires additional information about patient co-morbidities and complications. Works collaboratively with Nurse Case Managers during the patient’s episode of inpatient care to assist physicians and other practitioners to document diagnoses and procedures in a clear, concise, and comprehensive manner.
  • Utilizes electronic and hard copy resources available to ensure accuracy in assigning classification codes.

Your qualifications should include:

  • Associates and / or Bachelors degree in Health Information Management and /or a coding certification (CCS).
  • Two (2) years inpatient Clinical Coding experience required or completed competency assessment for inpatient coding at City of Hope.
  • Familiarity with Concurrent Coding models highly desirable.
  • Proficiency with Encoder / Grouper technology and basic keyboarding skills.
  • Successful completion of required education courses.
  • CCS, CDIP or CCDS required

City of Hope is an equal opportunity employer. To learn more about our commitment to diversity, equity, and inclusion, please click here.

To learn more about our Comprehensive Benefits, please CLICK HERE.

Salary / Pay Rate Information:
Pay Rate: $42.40 - $59.36 / hour

The estimated pay scale represents the typical [salary/hourly] range City of Hope reasonably expects to pay for this position, with offers determined based on several factors which may include, but not be limited to, the candidate’s experience, expertise, skills, education, job scope, training, internal equity, geography/market, etc. This pay scale is subject to change from time to time.



City of Hope is a community of people characterized by our diversity of thought, background and approach, but tied together by our commitment to care for and cure those with cancer and other life-threatening diseases. The innovation that our diversity produces in the areas of research, treatment, philanthropy and education has made us national leaders in this fight. Our unique and diverse workforce provides us the ability to understand our patients' needs, deliver compassionate care and continue the quest for a cure for life-threatening diseases. At City of Hope, diversity and inclusion is a core value at the heart of our mission. We strive to create an inclusive workplace environment that engages all of our employees and provides them with opportunities to develop and grow, both personally and professionally. Each day brings an opportunity to strengthen our work, leverage our different perspectives and improve our patients’ experiences by learning from others. Diversity and inclusion is about much more than policies and campaigns. It is an integral part of who we are as an institution, how we operate and how we see our future.


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More Info

Job posting number:#7302678 (Ref:10025752)
Application Deadline:Open Until Filled
Employer Location:City of Hope
Duarte,California
United States
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