Clinical Document Specialist (1.0 D)

Franciscan Alliance, Inc.

5d • Remote

About The Position

The Clinical Document Specialist is responsible for improving the overall quality and completeness of clinical documentation. In this role you will facilitate modifications to clinical documentation through extensive concurrent interaction with physicians and coding staff to ensure that the record accurately reflects the diagnosis treated, procedures performed and the severity of illness of the patient.

Requirements

• Associate's Degree Nursing or Healthcare related field - Required
• 7 years acute care nursing in lieu of Bachelor's Degree - Required
• 2 years Recent inpatient, case management, or ED - Required

Nice To Haves

• Bachelor's Degree Nursing or Healthcare related field - Preferred
• Registered Nurse (RN) - State Licensing Board - Preferred
• Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Integrity Specialists (ACDIS) - Preferred

Responsibilities

• Communicate with physicians, regarding missing, unclear or conflicting medical record documentation through the query process to clarify the information, obtain needed documentation, present opportunities, and educate for appropriate identification of severity of illness.
• Communicate with physicians, case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation ensuring they reflect clinical treatment, decisions, and diagnoses for inpatients.
• Utilize your expertise in understanding of complications, co-morbidities, the severity of illness, the risk of mortality, case mix, secondary diagnosis, and the impact of procedures on the final DRG; and share this knowledge to physicians and other members of the healthcare team.
• Identify patterns, trends, variances, and opportunities to improve the documentation review and process.

Benefits

• Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree