Clinical Documentation Specialist

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Logo of St. Charles Health System

St. Charles Health System

1001 - 5000 employees

Founded 1920

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Wellness

St. Charles Health System is a comprehensive healthcare provider that offers a wide range of healthcare services including cardiology, cancer care, primary care, and behavioral health across multiple locations such as hospitals, urgent care, and outpatient centers. They focus on creating a healthier community by providing personalized care through their MyChart portal, which allows patients to manage appointments, view medical records, and pay bills online. St. Charles Health System is committed to patient-centered care and community health initiatives, offering programs like financial assistance, veteran and military programs, and travel medicine clinics.

📋 Description

• Collaborates with physician, mid-level providers, ancillary staff, and medical records coders to identify principle and secondary diagnoses, and principle procedures • Reviews for quality indicators • Conducts initial and ongoing concurrent and some retrospective reviews for system wide admissions for all payors • Identifies when there is a need to clarify documentation in patient records and initiates queries or communication with providers • Provides information and education as necessary to providers on an ongoing basis • Collaborates with Physician Advisor to present education

🎯 Requirements

• Required: As required by licensure for RN • Preferred: BSN • Required: Current Oregon RN License • CCDS (Certified Clinical Documentation Specialist) or CDIP (Certified Documentation Improvement Practitioner) • Required: Minimum of two (2) years recent CDIS experience • Preferred: Proficient use of EPIC and 3M 360 Encompass software programs

🏖️ Benefits

• medical • dental • vision • a 403(b) retirement plan • a generous Earned Time Off (ETO) program

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