Spec Clinical Document Sr
Spec Clinical Document Sr
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
- Works for the promotion of proper and ethical documentation and coding/billing activities thus improving the organizations level of accurate reimbursement. Conducts indepth analysis of documentation of clinical care rendered in inpatient and outpatient settings. Uses critical analysis to determine appropriate DRG or coding assignment appropriate setting medical necessity coverage of experimental services and clinically related visits. Ensures that services are provided in accordance with state and federal regulations organizational policy and accreditation/compliance requirements.
- Prepares detailed clinical summaries and/or other clinical documentation as necessary for role.
- Analyzes current practices in the areas of patient care documentation and coding/billing utilizing observation and data/statistical analysis to identify areas of opportunity.
- Develops and communicates recommended solutions/programs to address problem areas to physicians and other health care professionals. Communicates study or other findings and trains physicians and other healthcare professionals as required in current data and healthcare trends as it relates to appropriate clinical documentation and evidencedbased medicine.
- Utilizing project management skills identifies project scope project requirements decision points timelines and resource requirements for planning prioritization implementation and evaluation of complex multifaceted quality and patient safety decision support projects and programs.
- Aids in the continuous monitoring of data for quality cost effectiveness and efficiency. Engages in process and quality improvement activities.
- Engages in continuous study of the entire professional field including best practices to maintain the professional competence knowledge and skills necessary for the satisfactory performance of all assigned responsibilities. Completes required continuous training and education including department specific requirements.
- Ensures that required documentation for activities within areas of responsibility is performed in an accurate and timely manner.
- Required Bachelors Degree Nursing Health Related Field or Business Administration
- Preferred Masters Degree Health Related Field
- 3 years of relevant experience Clinical Role Required
- Clinical Documentation Review Preferred
- LICRegistered Nurse (RN) STATEMI State of Michigan Upon Hire required Or
- LICNurse Practitioner (NP) STATEMI State of Michigan Upon Hire required Or
- LICPhysician Assistant STATEMI State of Michigan Upon Hire required
- CRTClinical Documentation Specialist Certified (CCDS) UNKNOWN Unknown CCAP Department preferred
- Pallet to Waist 6 from floor) > 5 lbs: Seldom up to 10 lbs
- Waist to Waist > 5 lbs: Seldom up to 10 lbs
- Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
- Waist to Overhead > 5 lbs: Seldom up to 10 lbs
- Bilateral Carry > 5 lbs: Seldom up to 10 lbs
- Unilateral Carry > 5 lbs: Seldom up to 10 lbs
- Pushing Force > 5 lbs: Seldom up to 10 lbs
- Pulling Force > 5 lbs: Seldom up to 10 lbs
- Sitting: Frequently
- Standing: Occasionally
- Walking: Occasionally
- Forward Bend Standing: Seldom
- Forward Bend Sitting: Occasionally
- Trunk Rotation Standing: Seldom
- Trunk Rotation Sitting: Occasionally
- Reach Above Shoulder: Seldom
- Reach at Shoulder or Below: Seldom
- Handling: Occasionally
- Forceful Grip > 5 lbs: Seldom
- Forceful Pinch > 2 lbs: Seldom
- Finger/Hand Dexterity: Frequently
How Corewell Health cares for you
Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.
Ondemand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you like restaurants phone plans spas and more!
Optional identity theft protection home and auto insurance pet insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status
Primary Location
SITE Butterworth Hospital 100 Michigan St Grand RapidsDepartment Name
Quality CDIEmployment Type
Full timeShift
Day (United States of America)Weekly Scheduled Hours
40Hours of Work
8Days Worked
MFWeekend Frequency
N/ACURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for NonCorewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drugfree workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an onsite or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.
An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
Employment Type
Full-Time
