Senior Specialist, Clinical Documentation

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🔥 16 minutes ago

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Support all care teams across the region through comprehensive and targeted chart reviews • Facilitate efficient and effective medical care for patients • Partner with regional leaders, particularly the Population Health Director and Senior CIS, to support daily huddle and CDR workflow optimization • Access and review HIE/EMRs to identify potential suspects based on test results • Identify the need for Medical Records requests from Blue Button and other payer data • Prepare and lead monthly Rejected Suspect Reviews • Partner with the Population Health Director on general review support • Identify and analyze opportunities to improve patient quality outcomes and cost of care • Analyze chronic condition prevalence based on patient demographics and identify intervention opportunities • Monitor clinical documentation efforts • Perform other assigned duties

🎯 Requirements

• Ease and expertise working with multiple technical systems, including Greenway, Canopy, and Excel • Ability to collaborate across multiple teams and engage multiple perspectives toward a common goal • Proven experience and ability to build relationships with providers • Proficiency in locating and leveraging hospital records, Blue Button, and payer data for accurate documentation • Ability to succeed in a fast-paced, changing environment • Self-starter with drive, initiative, and follow-through • Ability to develop, plan, and implement short- and long-term goals • Exceptional interpersonal, written, and verbal communication skills • Commitment to company vision • Experience in accurate and specific documentation • U.S. work authorization • Someone who embodies being “Oaky” and its stated values

🏖️ Benefits

• Paid vacation and sick time • Generous 401K match with immediate vesting • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • Collaborative and energetic culture • Fast-paced and innovative environment

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