Associate Clinical Documentation Improvement Specialist (Exempt)

Company: Mercy Health
Location: Saint Louis
Posted on: February 12, 2025

Job Description:

We're a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its "Top 100 Places to Work."Overview:

• The Clinical Documentation Specialist provides clinically based, concurrent and retrospective reviews of inpatient medical records.
• Will work to identify opportunities and ensure accuracy and completeness of clinical documentation used for measuring and reporting physician and hospital outcomes.
• This position collaborates with inpatient care providers to ensure accurate, complete, compliant, concise, and consistent documentation that reflects the true clinical scenario of the patient's encounter.
• This additionally serves to reflect the true Severity of Illness (SOI), Risk of Mortality (ROM), and intensity of services rendered to provide quality care and treatment to the patient.
• Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.Qualifications:
  • Education: RN, BSN, RHIA, RHIT, CCS, CPC, CIC, CCDS, or CDIP
  • Experience:1-year related experience in acute care inpatient nursing or inpatient coding or HIM
  • Excellent critical thinking skills with the ability to quickly make decisive decisions from limited written and/or verbal information, excellent reading comprehension
  • Excellent communication skills (written and verbally) and comfortable speaking in groups.
  • Ability to plan and organize workflow in order to meet deadlines
  • Must have strong computer skills including typing ability.
  • Experience with computer programs (EXCEL, Word)
  • Data entry
  • Record review with ability to interpret clinical data
  • Strong clinical knowledge
  • Ability to establish cooperative working relationship with diverse groups and individuals, medical staff and other health care disciplines and interact with all levels of employees
  • Ability to work flexible work schedules to accommodate provider rounding schedules and required medical staff presentations
  • Employee should possess: the ability to work with minimum supervision; organizational and administrative skills; function in a stressful environment; encourage and assist with team building; and the ability to maintain the confidentiality of sensitive information, both patient and employee
  • Detail oriented
  • Ability to work independently
  • Preferred Qualifications: Education:RN, CCS, CPC, RHIA, RHIT, or a combination thereof
  • Experience: 3 years nursing, inpatient coding, or other HIM role in acute hospital setting
  • Knowledge of diagnosis-related groups (DRG), prospective payment systems, and hospital quality performance initiative.
  • Utilization review/case management experience
  • Certification/Registration: CCDS (Certified Clinical Documentation Specialist) from ACDIS or CDIP (Certified Documentation Improvement Practitioner) from AHIMA preferredWe Offer Great Benefits:Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period! We're bringing to life a healing ministry through compassionate care.At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We're expanding to help our communities grow. Join us and be a part of it all.What Makes You a Good Match for Mercy? Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We're also collaborative and unafraid to do a little extra to deliver excellent care - that's just part of our commitment. If that sounds like a good fit for you, we encourage you to apply. EEO/AA/Minorities/Females/Disabled/Veterans Associated topics: business development, case manager, case management, development, development manager, office manager, plan, project, program development, resource development

Keywords: Mercy Health, St. Louis , Associate Clinical Documentation Improvement Specialist (Exempt), Healthcare , Saint Louis, Missouri