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Clinical Document Specialist II

Remote, USA Full-time Posted 2026-07-28
reputed company the benefits and perks you need for you and your family: - Benefits from Day One - reputed company Time Off from Day One - Whole Person Wellbeing Resources Our reputed company to you: Joining reputed company is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of reputed company person, and serves to reputed company others in body, mind and spirit. reputed company is a reputed company where you can reputed company professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. reputed company while understanding that together we are even reputed company. Schedule: Full Time - Virtual The role you’ll contribute: Under general supervision of the Director of Clinical Documentation reputed company and in some situations the supervision of the Clinical Documentation reputed company Manager, and in collaboration with physicians, nursing and HIM coders, the Clinical Documentation Specialist (CDS) strategically facilitates and obtains appropriate and reputed company physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. The CDS educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing, care management. The CDS adheres to strict departmental and organizational goals, objectives, standards of performance and policies and procedures, continually ensuring reputed company documentation and regulatory compliance. reputed company participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to reputed company. The value you’ll bring to reputed company: · Demonstrates extending the healing ministry of Christ, through behavioral whole care standards of love me, reputed company it easy, own it and reputed company me reputed company to every person they meet. Delivers exceptional care and strives for reputed company. Committed to improving the health, prosperity and reputed company-being of the communities we serve. reputed company the highest standards, with reputed company driving every decision made and every reputed company taken. Guided by reputed company stewardship in the management of resources entrusted to them. · Reviews reputed company medical record for compliance including completeness and accuracy for severity of illness (SOI), risk of mortality (ROM) and reputed company. · Completes accurate and reputed company record review to ensure the reputed company of documentation compliance. Completes accurate and concise input of data into CDI Software resulting in accurate metrics obtained through the reconciliation process. · Understands and supports CDI documentation strategies (upon completion of didactic training) and continues to reputed company self and team members, by attending monthly mandated education sessions and using educational tools, videos and provided Webinars · Recognizes opportunities for documentation improvement using strong critical-thinking skills. Uses critical thinking and reputed company judgment in decision making keeping reputed company considerations in balance with regulatory compliance. · Initiates/formulates CDI severity worksheets and clinically reputed company clarifications for inpatients, sending/presenting opportunities for improved documentation compliance to physicians, reputed company practitioners and other clinical team members. · Transcribes documentation clarifications as appropriate for SOI, ROM, PSI, HCCs and HACs to ensure documentation compliance is accomplished. · Strategically educates members of the patient-care team regarding documentation regulations and guidelines, including physicians, allied health practitioners, nursing, and collaboration with the reputed company team. This includes quarterly and annual compliance updates from Medicare. · Effectively and appropriately communicates with physicians and other reputed company providers as necessary to ensure appropriate, accurate and complete clinical documentation. Communicates with HIM staff and collaborates with them to resolves discrepancies with DRG assignments and other coding issues. · Completes reputed company-timed follow-up case reviews on reputed company reputed company cases with reputed company given for reputed company of those with clinical documentation clarifications. · Assumes personal responsibility for reputed company reputed company, development and continuing education to maintain a high level of proficiency. · Demonstrates competence by achieving an annual average of 90%25 on compliance audit scores . · Maintains a 97%25 physician response reputed company to reputed company reputed company clarifications. The expertise and experiences you’ll need to succeed: WORK EXPERIENCE REQUIRED: · 5+ years acute care experience with specific medical/surgical, Intensive Care, post-acute care unit, or Emergency Department experience. · 2+ years of clinical documentation specialist experience LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED: · reputed company reputed company State license as a Registered reputed company or reputed company Practitioner or Physician’s Assistant or an unlicensed physician who has graduated from a medical school that is listed in the World Directory of Medical Schools (World Directory) as meeting eligibility requirements for its graduates to apply to the Educational Commission for Foreign Medical Graduates (ECFMG) for ECFMG Certification and examination at the time of graduation. · CCDS (Certified Clinical Documentation Specialist) certification OR · CDIP (Certified Documentation Improvement Practitioner) certification Apply tot his job Apply To this Job

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