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 40%

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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 with others on clinical documentation improvement and risk-adjustment findings • Provide feedback to clinical staff on CMS clinical documentation requirements during concurrent record review • Serve as liaison between coding staff and physicians • Identify opportunities for new program development, program extensions, and process improvement 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 and clinical patient needs • Perform other assigned duties

🎯 Requirements

• Graduate of an accredited school of nursing, PA, NP, or medical school, OR Associate's degree and Certified Clinical Documentation Specialist (CCDS) certification from ACDIS • Two years in an acute care setting with two years of experience in clinical documentation, OR four years of experience in clinical documentation with CCDS certification • Required professional license and/or certification appropriate to the state of work location: CCDS, physician assistant license, physician credentialing, RN, APN/APRN, nurse practitioner, or applicable equivalent • Knowledge of CMS requirements related to clinical documentation • Knowledge of mortality models, O/E ratios, industry trends, variable and DRG frequency • Frequent keyboard use/data entry • Ability to perform required physical activities, including frequent lifting/carrying and pushing/pulling objects weighing 0–25 lbs and occasional lifting/carrying and pushing/pulling objects weighing 25–50 lbs • Ability to work in a constant state of alertness and safe manner

🏖️ Benefits

• Paid parental leave: one week for eligible team members for newborns or newly adopted children, prorated based on FTE • DailyPay flexible payment options with instant access to earned, unpaid base pay before payday; fees may apply • Upfront tuition coverage through FlexPath Funded for eligible team members • Comprehensive benefits package • Equal employment opportunity protections