REMOTE, Missouri, United States (Remote) · Posted 16 hours ago
Industry Hospital/ Health System
Job Function CDI/ Clinical Documentation Improvement
Job Type Temporary
Job Duration Indefinite
Min Education Associates Degree
Min Experience 2-3 Years
Required Travel None

About this role

Put your clinical expertise to work with flexibility. Join SSM Health as a PRN Clinical Documentation Specialist - First Reviewer and help ensure every patient’s story is accurately reflected through complete, precise clinical documentation while supporting quality outcomes and documentation integrity.

Schedule: PRN

Location - Fully Remote for qualified candidates residing in SSM Health's four state footprint. MO, IL, OK or WI.

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. 

Key Requirements

  • 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
Job ID: 86819713

About the company

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