Sr. Specialist, Clinical Documentation

CVS Health•Work At Home-Illinois, IL

1d•$19 - $39•Remote

About The Position

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. 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. By providing holistic, comprehensive and integrated care right in our patients’ communities, we can help keep them healthy and reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people across the nation. With an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about our mission to rebuild healthcare as it should be. For more information, visit http://www.oakstreethealth.com.

Requirements

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”

Responsibilities

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