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Mercy Health (Multiple Locations) Clinical Documentation Spec in Saint Louis, Missouri

We're a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.At Company , 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: Under the direction of the Director or designee, the Clinical Documentation Specialist will be responsible for the day-to-day clinical documentation chart reviews. Will work in conjunction with the Case Management department, physicians, mid-level providers and other health team members to provide for comprehensive medical record documentation to reflect clinical treatment, decisions, and diagnoses for inpatients. Will utilize coding and clinical expertise to identify opportunities and ensure accuracy and completeness of clinical documentation used for measuring and reporting physician and hospital outcomes. Responsibilities: * Improve clinical documentation specificity by educating providers physicians and mid-levels regarding the documentation requirements of the care provided throughout a patient stay. This includes capturing documentation to support medical necessity and complications/co-morbidities to document severity of illness. This is achieved via queries, face-to-face communications, and providing on-going provider/co-worker educational programs. * Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and also adheres to St. John's coding and Compliance standards. Participates in educational programs and inservices in order to maintain excellence in coding skills. Maintains library of information beneficial to work. T his position would be expected to pursue the Certified Coding Specialist credentials or the Certified Documentation Specialist credentials. * Enters documentation opportunities in a designated database and produces reports as requested including a monthly summary report of cases reviewed. * Assists the Coding department's co-workers with reviewing charts for potential queries to providers. Provides continuing clinical education for co-workers in the Coding department. * Consistenly meets established productivity and quality standards. Maintains production reports to relfect amount and type of work done. Follows established hospital and departmental policies and procedures, objectives, performance improvementant program, safety, environmental and infection control standards. * Maintains confidentiality and security levels in accordance with established hospital policies to protect patient care documentation. * Keeps all necessary credentials and continuing education hours up-to-date. * Observes universal precautions consistently. Wears proper personal protective equipment when appropriate. Wears clothing and Health System badge consistent with dress code, and attends to personal hygiene to maintain a clean, well-groomed appearance. Meets Health System attendance standards. * Performs other duties as assigned. Qualifications: Education: Registered Nurse or Certified Coder Licensure: Registered Nurse Experience: Two years in nursing, coding, process improvement, or case management in an acute care facility. Other: Skills, knowledge and abilities: Coding skills with experieince in ICD-9. Must have great communication and leadership skills and ability to communicate with multiple personality types. Preferred Education: Registered Nurse with Bachelor's degree Preferred Experience: ICD-9 Coding Preferred Certifications: Certified Coding Specialist CCS or Certified Documentation Specialist We 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 48 hours or more per p

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