RN-Clinical Documentation Specialist

Job Details

It's more than a career, it's a calling.OK-REMOTEWorker Type:RegularJob Summary:Reviews medical record for risk of mortality (ROM) and intensity of services (IOM). Collaborates with physician regarding accurate documentation reflecting the care patient is receiving.Job Responsibilities and Requirements:PRIMARY RESPONSIBILITIESReviews electronic medical record for principle diagnosis and all CC's (complication or comorbidity) and MCC's (major complication or comorbidity) for documentation opportunities.Collaborates with physicians through queries regarding documentation opportunities.Completes annual education.Active participant with other members of team regarding opportunities for improvement in standard work.Works in a constant state of alertness and safe manner.Performs other duties as assigned.EDUCATIONGraduate of accredited school of nursing or education equivalency for licensingEXPERIENCETwo years' registered nurse experiencePHYSICAL REQUIREMENTSFrequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.Frequent keyboard use/data entry.Occasional bending, stooping, kneeling, squatting, twisting and gripping.Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.Rare climbing.Work Shift:Day Shift (United States of America)Job Type:EmployeeDepartment:874####### Sys Clinical Documentation ImprovementScheduled Weekly Hours:40SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more. (

 SSM Health

 06/23/2024

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