Clinical Documentation Specialist

Ascension; Nashville (TN); Teletrabalho; USD 90 000 - 120 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health coverage

403(b) plan

PTO & holidays

Tuition reimbursement

Employee Assistance Program

Parental leave

Legal and pet insurance

Transit savings

Resumo da oferta

Ascension is seeking a Clinical Documentation Improvement professional for Saint Thomas Health. The role is remote with a full-time daytime schedule in the Clinical Documentation department.

You will lead admission reviews, DRG assignment, and physician queries to ensure accurate documentation before discharge. You will collaborate with clinicians to reflect illness severity, ensure compliant documentation, and maintain robust CDI records.

Qualificações

• Must have one or more of the listed credentials within 6 months of hire.
• Licensure/certification relevant to clinical documentation improvement.

Responsabilidades

• Completes admission reviews and assigns DRG using CDI processes.
• Interacts with physicians and mid-level providers to obtain detailed information in the medical record.
• Ensures severity of illness and level of services are accurately reflected in the medical record and resolves queries prior to discharge.
• Maintains accurate records of review activities and CDI outcomes.

Conhecimentos

Communication with physicians

Detail oriented

Formação académica

CCS credential

CPC credential

CDI professional credential

TN RN license

RHIA/RHIT credential

AHIMA RHIT/RHIA

Descrição da oferta de emprego

• Completes admission reviews and assigns a working Diagnosis Related Group. Ensures the working DRG and other information are entered in the Clinical Documentation Improvement database.
• Initiates and maintains extensive interactions with physicians and mid-level providers to address the need for more detailed information in the medical record.
• Collaborates with healthcare professionals to ensure the severity of illness and level of services provided are accurately reflected in the medical record and to resolve physician queries and documentation issues prior to patient's discharge.
• Maintains accurate records of review activities, ensuring reports and outcomes of CDI efforts are valid.

Your future role at a glance

• Location: Remote
• Facility: Saint Thomas Health
• Department: Clinical Documentation
• Schedule: Full-time | Days

How you’ll make an impact in this role

• Completes admission reviews and assigns a working Diagnosis Related Group. Ensures the working DRG and other information are entered in the Clinical Documentation Improvement database.
• Initiates and maintains extensive interactions with physicians and mid-level providers to address the need for more detailed information in the medical record.
• Collaborates with healthcare professionals to ensure the severity of illness and level of services provided are accurately reflected in the medical record and to resolve physician queries and documentation issues prior to patient's discharge.
• Maintains accurate records of review activities, ensuring reports and outcomes of CDI efforts are valid.

What Minimum Requirements You’ll Need

Licensure / Certification / Registration

• Required Credential(s):
  • One or more of the following:
    • Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained within 6 Months (180 days) of hire date or job transfer date.
    • Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained within 6 Months (180 days) of hire date or job transfer date.
    • Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.
    • Licensed Compact State Registered Nurse credentialed from the Tennessee Board of Nursing obtained prior to hire date or job transfer date.
    • Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
    • Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.

Education

• High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.

Benefits that help you thrive

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
• Time to recharge: pro-rated paid time off (PTO) and holidays
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
• Family support: parental leave, adoption assistance and family benefits
• Other benefits: optional legal and pet insurance, transportation savings and more

Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

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