Clinical Documentation Specialist – Second Reviewer

🕒 July 29

🌽 Illinois, Oklahoma, +2 more states – Remote

🌽 Illinois – Remote 🌪️ Oklahoma – Remote 🏰 Missouri – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥📝 Medical Writer

👻 Ghost score 65%

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SSM Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1872

🏥 Healthcare

🤝 Non-profit

💰 Grant on 2023-12

Healthcare • Non-profit

SSM Health is a Catholic, not-for-profit health system serving communities across the U. S. Midwest through an integrated network of hospitals, clinics, and care services. With locations in Illinois, Missouri, Oklahoma, and Wisconsin, SSM Health operates acute-care and specialty services (including teaching hospitals and level‑one trauma centers), emphasizes mission-driven, compassionate care, workforce development, and employee benefits, and supports flexible nursing and other clinical roles.

📋 Description

• Review clinical records for clinical documentation integrity and mortality scoring • Collaborate on clinical documentation improvement and risk-adjustment findings • Maintain knowledge of CMS clinical documentation requirements and provide feedback to clinical staff during concurrent record review • Maintain knowledge of mortality models, O/E ratios, industry trends, variables, and DRG frequency • Liaise between coding staff and physicians • Identify opportunities for program development, extensions, and process improvements based on outcomes analysis • Work with team members to improve standard work • Maintain documentation and logs of adjusted risk and CDI opportunities • Apply evidence-based practice and scientific knowledge to nursing practice and age-specific clinical needs • Work in a constant state of alertness and safe manner • Perform other assigned duties

🎯 Requirements

• Strong inpatient, adult CDI background • Previous PSI, mortality, and/or SLR experience • 4 years or more of recent CDI experience preferred • Graduate of an accredited school of nursing, PA, NP, or medical school, or an Associate's degree and CCDS certification from ACDIS • Two years in an acute care setting with two years of clinical documentation experience, or 4 years of clinical documentation experience with CCDS certification • Required professional license and/or certification appropriate to the state of work location: CCDS, physician assistant, physician credentialing, RN, APN/APRN, nurse practitioner, or related listed credential • Ability to work regular business hours Monday–Friday, with earliest start at 6 AM and completion by 6 PM • Selected candidate must live in Missouri, Oklahoma, Illinois, or Wisconsin • Frequent keyboard use/data entry • Ability to perform listed physical activities, including occasional lifting of 25–50 lbs and rare climbing

🏖️ Benefits

• Remote work arrangement • Regular business hours, Monday–Friday • 40 scheduled weekly hours • Day shift • Equal employment opportunity

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