Clinical Documentation Specialist

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Bachelor's Degree required or 4 years of Inpatient Coding or CDI experience in lieu of a degree., 1 year of applicable experience in clinical documentation or coding., Strong understanding of medical record documentation standards and compliance., Ability to educate clinical providers on documentation best practices..

Key responsibilities:

  • Review medical record documentation for accuracy and compliance.
  • Educate clinical providers on proper documentation practices.
  • Assign preliminary diagnoses and procedures for inpatient accounts.
  • Communicate with the coding team and participate in quality and productivity standards.

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Saint Luke's Health System XLarge https://www.saintlukeskc.org/
10001 Employees
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Job description

Job Description​

Review medical record documentation to ensure appropriate representation of severity of illness, complications, comorbidities, and clinical support. Educate clinical providers on accurate and compliant medical record documentation.

Bachelor's Degree required or 4 years minimum of Inpatient Coding or CDI work experience, in lieu of Bachelor’s Degree.

  • Assign preliminary diagnoses and procedures for inpatient accounts

  • Validate clinical criteria present in medical record to support specific conditions

  • Query clinical providers when appropriate

  • Educate clinical providers

  • Communicate with coding team

  • Meet quality standards

  • Meet productivity standards

  • Participate in weekly mortality review when appropriate

Job Requirements

Applicable Experience:

1 year

Bachelor's Degree

Job Details
Full Time

Day (United States of America)

The best place to get care. The best place to give care. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke’s means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Communication
  • Teamwork
  • Problem Solving

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