Senior Clinical Documentation Specialist

Location: Remote

Facility: Ascension St. John Medical Center

Specialty: Health Information Management Operations

Schedule: Full-time | Monday-Friday | 8am-5pm

Lead high-complexity clinical chart reviews to capture accurate diagnosis codes and ensure patient care journeys are fully reflected in the medical record.

Collaborate directly with physicians and advanced practice providers to clarify clinical documentation, resolving gaps to support severity of illness and risk of mortality data.

Drive quality improvement initiatives across market teams to uphold compliance standards, improve case mix index accuracy and elevate overall documentation practices.

Serve as a subject matter expert and mentor to guide colleagues on evolving coding guidelines, clinical indicators and CDI best practices.

Licensure / Certification / Registration

Required Credential(s): Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.

Education

High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree with 1 year of experience OR 5 years of applicable cumulative job specific experience required. 2 years of leadership or management experience preferred.

Additional Preferences :

Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) certification

Minimum 3 years of progressive Clinical Documentation Integrity (CDI) experience in an acute care setting

Active Registered Nurse (RN) license or Certified Coding Specialist (CCS) credential

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

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Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

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