Clinical Documentation Specialist

Ascension Health; Nashville (TN); Remote; USD 72,000 - 133,000; Full time

Benefits offered by this job

Health coverage

403(b) retirement plan

PTO and holidays

Tuition reimbursement

Employee Assistance Program

Parental leave

Other benefits

Job summary

Ascension Health is seeking a Remote CDI Specialist to ensure accurate inpatient documentation, DRG assignment, and physician query resolution. You will work with the Saint Thomas Health system to improve documentation quality and compliance across the patient record during the admission and discharge processes.

The role requires professional CDI credentials, a clinical background, and ability to coordinate with care teams to gather necessary information.

Qualifications

• Credentialed professional required within 6 months of hire: CCS/CPC/Clinical Documentation Pro/RN/Reg Health Info AHIMA or related.
• Education: HS equivalency with experience or college degree or substantial job-specific experience.

Responsibilities

• Completes admission reviews and assigns a working DRG.
• Initiates and maintains extensive interactions with physicians to obtain detailed information for the medical record.
• Ensures severity of illness and level of services are accurately documented before discharge.
• Maintains accurate records of review activities and outcomes of CDI efforts.

Skills

Interdisciplinary collaboration

Clinical documentation improvement

Education

High School diploma equivalency with 2 years of experience OR Associate's/Bachelor's OR 4 years of job-specific experience

CCS/CPC/Clinical Documentation Pro credential/Licensed RN/Reg Health Info credential

Job description

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) (https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRightsSp6.12.pdf) poster.

Min Salary: 71560.37

Max Salary 133001.51