Clinical Documentation Specialist at Ascension

Trenton, Kentucky, United States -

Full Time

Start Date

Immediate

Expiry Date

11 Jul, 26

Salary

105292.0

Posted On

12 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical documentation improvement, Medical coding, Diagnosis related groups, Clinical data analysis, Physician collaboration, Medical record auditing, Healthcare compliance, Data integrity, Clinical indicators, Health information management

Industry

Hospitals and Health Care

Description

Your future role at a glance Location: Remote Facility: Ascension Saint Thomas Department: Clinical Documentation Schedule: Full time | Days Salary: $75,535 - $105,292 per year Life at Ascension: Where purpose meets opportunity 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. Benefits that help you thrive Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance Time to recharge: pro-rated paid time off (PTO) and holidays Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources Family support: parental leave, adoption assistance and family benefits Other benefits: optional legal and pet insurance, transportation savings and more Benefit options and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will provide the most up-to-date details during the hiring process. How you’ll make an impact in this role Translate Clinical Care into Accurate Data: Perform comprehensive admission reviews to assign working Diagnosis Related Groups (DRGs), ensuring all clinical indicators are captured within our CDI database. Act as a Peer Consultant: Build and maintain collaborative, high-trust relationships with physicians and mid-level providers. You’ll engage in meaningful dialogue to capture the "why" behind the care, ensuring the medical record is as detailed and accurate as possible. Uphold Integrity & Validity: Maintain meticulous records of your review activities. Your oversight ensures that our CDI efforts produce valid reports and measurable improvements in patient data quality. What minimum requirements you’ll need Licensure / Certification / Registration: One or more of the following required: Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained within 6 Months (180 days) of hire date or job transfer date. Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained within 6 Months (180 days) of hire date or job transfer date. Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date. Licensed Registered Nurse credentialed from the Tennessee Board of Nursing or current home state license for multi-state license recognition "Compact State" 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 OR 4 years of applicable cumulative job specific experience required. Equal employment opportunity employer 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. Fraud prevention notice Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. E-Verify statement Employer participates in the Electronic Employment Verification Program. Please click here for more information.

Responsibilities

The Clinical Documentation Specialist performs comprehensive admission reviews to assign accurate Diagnosis Related Groups and ensure clinical indicators are captured. They also act as a peer consultant to physicians to ensure medical records are detailed and accurate.