Clinical Documentation Specialist

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.

Job Description Summary:

Clinical Documentation provides a formalized approach to promote accurate and complete medical record documentation reflecting a patient's true severity of illness and risk of mortality. The CDS reviews ambulatory medical records and identifies opportunities in provider documentation that will clarify patient severity of illness, risk of mortality, quality indicator measures and intensity of care rendered.

This role will be responsible for leading the development of education materials and education sessions with providers and staff. This includes both OhioHealth Physician Group (OPG) providers, as well as Independent providers in the Clinically Integrated Network (CIN).

Responsibilities And Duties:

50%
Develops education materials through research of best practices and up-to-date government requirements.
Collaborates with other Clinical Documentation Specialists (CDS) to create tip sheets and update on a yearly basis.
In-person/virtual education sessions with CIN providers and staff on topics of focus for the department.
Presentation of learnings and proposed improvement opportunities.

30%
Support the Clinical Documentation Specialist (CDS) team with ambulatory chart reviews.
Utilize department tools to locate opportunities for improvement on coding and documentation.

20%
Exhibit expert knowledge of clinical documentation requirements and coding guidelines.
Understand compliance standards and comply with AHIMA Standards of Ethical Coding guidelines.
Demonstrate competency of ICD10 documentation requirements.
Possess working knowledge of computer-based applications including but not limited to Word, Excel, and facility-based Electronic Health Record (EHR).

Minimum Qualifications:

Diploma: Nursing

Additional Job Description:

SPECIALIZED KNOWLEDGE

• Certified Risk Adjustment Coder (CRC) preferred.

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

Health Care Transformation

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

Remote Work Disclaimer:

Positions marked as remote are only eligible for work from Ohio.