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CDS Trainee - Medical Records

ROXBOROUGH Memorial Hospital
United States, Pennsylvania, Philadelphia
5800 Ridge Ave (Show on map)
Apr 09, 2025

CDS Trainee - Medical Records
Facility

Roxborough Memorial Hospital



Location

US-PA-Philadelphia

ID
2025-201788

Category
Business Professional

Position Type
Full Time

Shift
Days

Job Type
Non-Exempt



Overview

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

Roxborough Memorial Hospital is a 131-bed community hospital. The hospital has been serving the medical and health care needs of the Roxborough, Manayunk, East Falls and northwest section of Philadelphia communities for more than a century, having first opened its doors in 1890. Roxborough Memorial Hospitals School of Nursing has been educating nurses since 1898. The hospital is accredited by the Joint Commission on the Accreditation of Healthcare Organizations, the nation's oldest and largest hospital accreditation agency.

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf



Responsibilities

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.



Qualifications

EDUCATION, EXPERIENCE, TRAINING
1. Medical Graduate, PA or Nursing Graduate required.
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.
12. Working knowledge of Medicare reimbursement system and coding structures preferred.


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