Sr. Specialist, Clinical Documentation

8350 Oak Street Health MSO LLC; Illinois; Hybrid; USD 25,000 - 54,000; Full time

Benefits offered by this job

Competitive benefits

401K match with immediate vesting

Health coverage

Job summary

Oak Street Health is seeking a dedicated care operations professional to support region-wide chart reviews and targeted data reviews. The role partners with Population Health leadership to optimize daily workflows such as huddles and documentation accuracy, ultimately enhancing patient care.

You will work across multiple care teams to ensure precise, timely medical records handling. Responsibilities include reviewing EMR data, coordinating Medical Records requests, and leading monthly reviews to

Qualifications

• Experience performing chart reviews and medical records review.
• Familiarity with HIE/EMR systems and data extraction.
• Ability to translate data into actionable insights for care teams.

Responsibilities

• Perform comprehensive chart reviews and identify data quality gaps.
• Access and review HIE/EMRs to identify potential suspects based on results.
• Identify needs for Medical Records requests from Blue Button and payer data.
• Prepare and lead Monthly Rejected Suspect Reviews.
• Collaborate with Population Health Director on review support.
• Identify opportunities to improve patient quality outcomes and cost of care.
• Analyze chronic condition prevalence and inform interventions.
• Monitor clinical documentation processes.

Skills

Team collaboration

Documentation accuracy

Healthcare data analysis

Communication skills

U.S. work authorization

Tools

Greenway

Canopy

Excel

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Company

Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities.

Role Description

The goal of this position is to support all care teams across the region in comprehensive and targeted chart reviews -- to ultimately facilitate efficient and effective medical care for our patients. In addition, this role will partner with regional leaders, particularly the Population Health Director and Senior CIS, to indirectly support daily huddle and CDR workflow optimization. CDSs are trained to be experts in structured clinical assessments, accurate and specific documentation, population health workflows, and team based care.

Core Responsibilities

• Chart Reviews
• Access and review HIE/EMRs to identify potential suspects based on test results, etc.
• Identify the need for Medical Records requests from Blue Button and other payer data
• Prepare and lead monthly Rejected Suspect Reviews
• Partnership with Population Health Director on general review support
• Identify and analyze opportunities for improving patient quality outcomes and cost of care
• Analyze chronic condition prevalence based on patient demographics and identify opportunities for interventions
• Monitor clinical documentation efforts
• Other duties, as assigned

What We're Looking For

• Ease and expertise working with multiple technical systems, including Greenway, Canopy, and Excel
• Ability to collaborate across multiple teams and engage in multiple perspectives to work toward a common goal
• Proven experience and ability to build relationships with Providers
• Proficiency in tracking down and leveraging external resources, such as hospital records, Blue Button, and payer data, to support retrospective and prospective accurate documentation
• Ability to succeed in a fast-paced, ever-changing environment
• Self-starter with a high degree of drive, initiative, and follow through
• Ability to develop, plan, and implement short and long term goals
• Exceptional interpersonal, written and verbal communication skills
• Commitment to company vision
• Experience in accurate and specific documentation
• U.S. work authorization
• Someone who embodies being “Oaky”

Job Details

• Anticipated Weekly Hours: 40
• Time Type: Full time
• Pay Range: The typical pay range for this role is: $18.50 - $38.82 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Benefits

• Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits
• Medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

Equal Opportunity Employer

Oak Street Health is an equal opportunity employer.

Qualified Applicants

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Company Culture

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.