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SSM Health

Clinical Documentation Specialist, First Reviewer

SSM Health, Myrtle Point, Oregon, United States, 97458

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Employer Industry: Healthcare Services

Why consider this job opportunity:

Salary up to $111,737.60

Opportunity for career advancement and growth within the organization

Comprehensive benefits package, including paid parental leave and tuition coverage

Flexible payment options for eligible team members through DailyPay

Supportive work environment focused on clinical documentation improvement

Eligible for remote work in approved states

What to Expect (Job Responsibilities):

Perform concurrent analytical reviews of clinical and coding data to improve physician documentation

Conduct initial and follow-up reviews of patient records to assign accurate diagnoses and procedures

Query physicians for additional documentation regarding unclear or conflicting health records

Educate healthcare providers on the importance of accurate and complete documentation

Collaborate with coding professionals to resolve discrepancies and ensure DRG accuracy

What is Required (Qualifications):

Minimum of 1 year of experience as a Clinical Documentation Specialist

Additional 2 years of experience in an acute care setting or relevant experience

Graduate of an accredited school of nursing, PA, NP, or medical school, or Associate's degree with CCDS certification

Certification as a Clinical Documentation Specialist (CCDS) from ACDIS

Proficiency with MS Office tools, especially Excel

How to Stand Out (Preferred Qualifications):

Prior experience reviewing patient safety indicators (PSI) or specialized mortality reviews

Strong understanding of clinical documentation improvement practices

Experience in educating healthcare teams on documentation standards

Ability to conduct independent research on clinical topics and coding guidelines

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