Clinical Documentation Specialist

Your future role at a glance

Location

Remote

Facility

Seton Family of Hospitals

Department

Clinic Integrity Documentation

Schedule

Full-time | Monday - Friday | 8:00 am - 4:00 pm CST

Salary

$79,511.52 - $110,834.59 per year

How you’ll make an impact in this role

• Optimize Clinical Documentation: Drive measurable improvements in medical record completeness, accuracy, and overall data quality.
• Manage DRG & Database Inputs: Conduct timely admission reviews to assign and log accurate working Diagnosis Related Groups (DRGs).
• Cultivate Provider Collaboration: Partner extensively with physicians and mid-level providers to resolve documentation queries prior to patient discharge.
• Capture Care Severity: Ensure medical records precisely reflect the true severity of illness and the full level of healthcare services delivered.

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 prior to hire date or job transfer date.
• Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to 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.
• Clinical Documentation Prof. credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
• Registered Nurse credentialed from the Texas Board of Nursing obtained prior to 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.

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.
• 1+ years of experience in a Clinical Documentation Integrity position needed
• Second Level Review experience and Certified Clinical Documentation Specialist (CCDS) strongly preferred
• Active Registered Nursing license in state of residence needed

• 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

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.

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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