SSM Health
10,000+ employees
🛡️ Insurance
💼 Consulting
📦 Logistics
💰 Debt Financing on 2019-11
Insurance • Consulting • Logistics
SSM Health is a Catholic, not-for-profit health system serving communities across the Midwest. It is one of the largest Catholic health care systems in the United States, operating 23 hospitals and over 650 physician offices, along with other outpatient and virtual care services in Illinois, Missouri, Oklahoma, and Wisconsin. SSM Health is dedicated to providing high-quality care through a comprehensive, integrated health care delivery system. The organization values diversity, inclusion, and the professional growth of its 40,000 team members. SSM Health is committed to exceptional patient care, showcasing a rich heritage of service for over 150 years.
Clinical Documentation Specialist, First Reviewer
🕒 July 2
🌽 Illinois, Oklahoma, +2 more states – Remote
⏱ Part Time
🟢 Junior
🟡 Mid-level
🏥📝 Medical Writer
🦅 H1B Visa Sponsor
📊 Check your resume score for this job
Improve your chances of getting an interview by checking your resume score before you apply.
SSM Health
10,000+ employees
🛡️ Insurance
💼 Consulting
📦 Logistics
💰 Debt Financing on 2019-11
Insurance • Consulting • Logistics
SSM Health is a Catholic, not-for-profit health system serving communities across the Midwest. It is one of the largest Catholic health care systems in the United States, operating 23 hospitals and over 650 physician offices, along with other outpatient and virtual care services in Illinois, Missouri, Oklahoma, and Wisconsin. SSM Health is dedicated to providing high-quality care through a comprehensive, integrated health care delivery system. The organization values diversity, inclusion, and the professional growth of its 40,000 team members. SSM Health is committed to exceptional patient care, showcasing a rich heritage of service for over 150 years.
📋 Description
• Perform concurrent analytical reviews of clinical and coding data from point of entry to discharge • Evaluate documentation and assign principal and secondary diagnoses and procedures for accurate DRG, ROM, and SOI assignment • Conduct initial and follow-up patient record reviews and support working or final DRG assignments at discharge • Query physicians regarding missing, unclear, or conflicting health record documentation • Identify diagnostic testing reporting issues proactively • Develop, present, and maintain compliant clinical documentation queries • Educate physicians and healthcare providers on clinical documentation improvement and accurate, complete health record documentation • Attend department meetings to review documentation-related issues • Research clinical topics, coding guidelines, regulatory policies, healthcare trends, and healthcare economics • Collaborate with coding professionals to reconcile DRGs and resolve mismatches using the escalation policy • Troubleshoot documentation and communication problems and escalate appropriately • Clarify clinical issues with coding professionals to support accurate DRG, SOI, and ROM assignments • Assist with mortality review and risk adjustment using third-party models • Impart knowledge to providers and other healthcare team members • Maintain expertise through continuing education programs • Apply evidence-based practice and scientific knowledge to nursing practice • Work in a constant state of alertness and safe manner • Perform other duties as assigned
🎯 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' experience in an acute care setting or relevant experience • Required professional license and/or certification appropriate to the state of work location • CCDS certification from the Association of Clinical Documentation Improvement Specialists (ACDIS), or qualifying medical degree, physician assistant, physician, registered nurse, advanced practice nurse/APRN, or related listed credential • For Illinois work locations: applicable Illinois IDFPR license or certification • For Missouri work locations: applicable Missouri professional registration/license or compact-state RN license • For Oklahoma work locations: applicable Oklahoma board license/certification or compact-state RN license • For Wisconsin work locations: applicable Wisconsin DSPS license/certification or compact-state RN license • Ability to perform frequent lifting/carrying and pushing/pulling of objects weighing 0–25 lbs. • Ability to perform frequent sitting, standing, walking, reaching, repetitive movements, keyboard use, and data entry • Ability to perform occasional lifting/carrying and pushing/pulling of objects weighing 25–50 lbs. • Ability to hear alarms and communicate information orally • 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, pro-rated based on FTE • Flexible payment options through DailyPay, offering eligible hourly team members 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
Apply NowSimilar Jobs
🕒 February 25
Health Writer creating engaging and informative content related to healthcare. Collaborating with teams to deliver accurate and relevant content for clients and their patients.
