[Hiring] Clinical Documentation Specialist @Trinity Health

Role Description

MercyOne Genesis Full-Time Remote Position (80 Hours Biweekly)

• Utilizes clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator, and consultant.
• Facilitates the overall quality, completeness, and accuracy of medical record documentation through extensive record review.
• Knows, understands, incorporates, and demonstrates the Trinity Mission, Vision, and Values in behaviors, practices, standards, policies, procedures, and decisions.
• Demonstrates understanding of appropriate clinical documentation to ensure the severity of illness, risk of mortality, quality indicators, and level of services provided are accurately reflected in the health record.
• Communicates with and educates physicians and all other members of the healthcare team in clinical documentation and monitors provider engagement.
• Conducts concurrent reviews of selected patient health records to address legibility, clarity, completeness, consistency, and precision of clinical documentation.
• Formulates compliant clarifications/queries following Trinity Health's documentation integrity procedures.

Qualifications

• Must possess an Associate/Diploma Degree in Health Information Technology (HIT) or Advanced degree in nursing (NP, APN) or Physician Assistant.
• In absence of college degree, must have three (3) years' experience as an inpatient code or documentation specialist.
• Preferred Certifications: RN, RHIA, RHIT, CCS, CCDS or CDIP.
• Experienced in critical care, medical or surgical inpatient care nursing as an RN, PA, NP, APN or inpatient coder preferred.
• Excellent communication, interpersonal, collaboration, and relationship-building skills.
• Strong critical thinking skills and ability to integrate knowledge.
• Prioritization and organizational skills required.
• Demonstrated ability to use standardized desktop and Windows-based computer systems.
• Data entry and typing skills at minimum 30 wph.

Company Description

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.