Clinical Documentation Specialist, First Reviewer

Work set-up: 
Full Remote
Contract: 
Full time
Experience: 
Mid-level (2-5 years)
Work from: 
United States

Offer summary

Qualifications:

Graduate of an accredited nursing, PA, NP, or medical school, or hold an associate's degree with CCDS certification., Minimum of one year of experience as a Clinical Documentation Specialist., Additional two years' experience in an acute care setting or relevant healthcare experience., Proficiency with MS Office, especially Excel, and knowledge of coding guidelines and healthcare regulations..

Key responsibilities:

  • Review and evaluate clinical documentation to ensure accurate DRG, SOI, and ROM assignments.
  • Query physicians and healthcare providers to clarify and complete health records.
  • Collaborate with coding professionals to reconcile diagnostic and procedural data.
  • Educate healthcare team members on documentation improvement and compliance standards.

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SSM Health XLarge https://www.ssmhealth.com/
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Job description

It's more than a career, it's a calling

MO-REMOTE

Worker Type:

Regular

Job Highlights:

**Must have prior experience as a Clinical Documentation Specialist**

Required Qualifications:

  • 1 year of experience as a Clinical Documentation Specialist
  • Additional Two years' in an acute care setting or relevant experience
  • Graduate of accredited school of nursing, PA, NP, or medical school, or Associate's degree and Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialist (ACDIS)


Preferred Qualifications:

  • CCDS certification
  • Proficiency with MS Office Tool - especially Excel.
  • Prior experience reviewing PSI (patient safety indicator) or experience with Vizient specialized mortality reviews. 

    Eligible Remote States:

    Candidates are required to reside on one of SSM's approved States:

    Alabama, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Missouri, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Utah, Virginia, West Virginia, and Wisconsin.

    Job Summary:

    Performs concurrent analytical reviews of clinical and coding data to improving physician documentation for all conditions and treatments from point of entry to discharge, ensuring an accurate reflection of the patient condition in the associated Diagnosis Related Group (DRG) assignments, case-mix index, severity of illness (SOI), and risk of mortality (ROM) profiling, and reimbursement. Facilitates the resolution of queries and educates members of the patient care team regarding documentation guidelines and the need for accurate and complete documentation in the health record, including attending physicians and allied health practitioners. Collaborates with coding professionals to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to determine a working and final DRG, SOI, and/or ROM.

    Job Responsibilities and Requirements:

    PRIMARY RESPONSIBILITIES

    • Completes initial reviews of patient records and evaluates documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate diagnosis review group (DRG) assignment, risk of mortality (ROM), and severity of illness (SOI). Maintains appropriate productivity level. 
    • Conducts follow-up reviews of patients every to support and assign a working or final DRG assignment upon patient discharge, as necessary.
    • Queries physicians regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation within the health record when needed. Identifies issues with reporting of diagnostic testing proactively. Enhances expertise in query development, presentation, and standards including understanding of published query guidelines and practice expectations for compliance.
    • Educates physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record.
    • Attends department meetings to review documentation related issues. Conducts independent research to promote knowledge of clinical topics, coding guidelines, regulatory policies and trends, and healthcare economics.
    • Collaborates with coding to reconcile the DRG and resolves mismatches utilizing the escalation policy. Troubleshoots documentation or communication problems proactively and appropriately escalates.
    • Reviews and clarifies clinical issues in the health record with the coding professionals that would support an accurate DRG assignment, SOI, and/or ROM.  Assists in the mortality review and risk adjustment process utilizing third-party models.
    • Demonstrates an understanding of complications, comorbidities, SOI, ROM, case mix, and the impact of procedures on the billed record. Imparts knowledge to providers and other members of the healthcare team. Maintains a level of expertise by attending continuing education programs.
    • Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's scope of service.
    • Works in a constant state of alertness and safe manner.
    • Performs other duties as assigned.​

    EDUCATION

    • Graduate of accredited school of nursing, PA, NP, or medical school, or Associate's degree and Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialist (ACDIS)

    EXPERIENCE

    • Two years' in an acute care setting or relevant experience


    PHYSICAL REQUIREMENTS

    • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
    • Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
    • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
    • Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
    • Frequent keyboard use/data entry.
    • Occasional bending, stooping, kneeling, squatting, twisting and gripping.
    • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
    • Rare climbing.

    REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS   
     
    State of Work Location: Illinois

    •     Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS)
    •     Or
    •     Physician Assistant in Medicine, Licensed - Illinois Department of Financial and Professional Regulation (IDFPR)
    •     Or
    •     Physician - Regional MSO Credentialing
    •     Or
    •     Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)
    •     Or
    •         Advanced Practice Nurse (APN) - Illinois Department of Financial and Professional Regulation (IDFPR)
    •         Or
    •         APN Controlled Substance - Illinois Department of Financial and Professional Regulation (IDFPR)
    •         Or
    •         Full Practice Authority APRN Control Substance - Illinois Department of Financial and Professional Regulation (IDFPR)
    •         Or
    •         Full Practice Authority APRN - Illinois Department of Financial and Professional Regulation (IDFPR)

         
    State of Work Location: Missouri

    •     Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS)
    •     Or
    •     Physician Assistant - Missouri Division of Professional Registration
    •     Or
    •     Physician - Regional MSO Credentialing
    •     Or
    •         Registered Nurse (RN) Issued by Compact State 
    •         Or
    •         Registered Nurse (RN) - Missouri Division of Professional Registration
    •     Or
    •     Nurse Practitioner - Missouri Division of Professional Registration

         
    State of Work Location: Oklahoma

    •     Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS)
    •     Or
    •         Acknowledgement of Receipt of Application for Physician Assistant - Oklahoma Medical Board
    •         Or
    •         Physician Assistant - Oklahoma Medical Board
    •     Or
    •     Physician - Regional MSO Credentialing
    •     Or
    •         Registered Nurse (RN) Issued by Compact State 
    •         Or
    •         Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)
    •     Or
    •         Advanced Practice Registered Nurse (APRN) - Oklahoma Board of Nursing (OBN)
    •         Or
    •         Certified Family Nurse Practitioner (FNP-C) - American Academy of Nurse Practitioners (AANP)

         
    State of Work Location: Wisconsin

    •     Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Improvement Specialists (ACDIS)
    •     Or
    •     Physician Assistant - Wisconsin Department of Safety and Professional Services
    •     Or
    •     Physician - Regional MSO Credentialing
    •     Or
    •         Registered Nurse (RN) Issued by Compact State 
    •         Or
    •         Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services
    •     Or
    •     Advanced Practice Nurse Prescriber (APNP) - Wisconsin Department of Safety and Professional Services

     
     

    Work Shift:

    Day Shift (United States of America)

    Job Type:

    Employee

    Department:

    8746010033 Sys Clinical Documentation Improvement

    Scheduled Weekly Hours:
    40

    Benefits:

    SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

    • Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). 

    • Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.

    • Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 

    Explore All Benefits

    SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.

    Required profile

    Experience

    Level of experience: Mid-level (2-5 years)
    Spoken language(s):
    English
    Check out the description to know which languages are mandatory.

    Hard Skills

    Documentation GenerationAnalytical ProceduresClinical DocumentationPatient SafetyEconomicsDiagnosis Codes

    Other Skills

    • Microsoft Excel
    • Microsoft Office
    • Collaboration
    • Communication
    • Problem Solving
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