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Clinical Documentation Specialist / CDS - St. Mary's Hospital - St. Lo

Job Reference: JIH02700455
Date Posted: 13 February 2019
Employer: SSM Health
Location: Saint Louis , Missouri
Sector: Wider Healthcare Team
Contract Type: Full-Time
Closing Date: 12 March 2019

Job Description

Fulfill your calling at SSM Health.

As an SSM Health employee, you have responsibility to carry on a ministry our founding Sisters set forth more than 144 years ago by offering hope and healing to our patients and when you join our team, our sacred ministry is in your hands. Each one of us brings a special gift to our Mission, what will yours be?

Employees tell us that the environment at SSM Health St. Mary's Hospital - St. Louis feels more like a family. Employees are warm and friendly, they enjoy each other s company, they care for one another and they share a passion for delivering exceptional patient care!

The Clinical Documentation Specialist positions are located at the specific hospitals. This position will be located at SSM Health St. Mary's Hospital, St. Louis. The orientation is 12 weeks long and proficiency takes at least 12 months. There are no weekends or holidays scheduled with this position.

Join our exceptional team!
Role Purpose:

Responsible for improving the overall quality and completeness of clinical documentation in the medical record. Facilitates modifications to clinical documents through extensive interaction with physicians, nursing staff, other caregivers and medical records coding staff to ensure appropriate reimbursement is received for the level of service rendered to all patients with a DRG based payor (Medicare, medicaid, Other payers). Ensures the accuracy and completeness of clinical information used for measuring and reposting physician and medical center outcomes. Educates all members of the patient care team on an ongoing basis. Responsibilities cover SSM DePaul Health Center, St. Marys Health Center, St. Clare Health Center, St. Joseph Health Center, and St. Joseph Hospital West.

  • Contributes to the overall patient experience through review of identified levels of Medicare/Managed Medicare admissions for documentation compliance.
  • Improve quality of patient care and safety by achieving a 35% overall query/clarification rate.
  • Improves overall commitment of employees and physicians as evidenced 3% or less \"no response rate\".
  • Contributes to overall financial performance performance by improving case mix index to suggested levels.
  • Builds exceptional employee commitment through exceptional collaboration, communication and positive team interactions and behavior.
Minimum Qualifications:
  • Associate Degree or Diploma School program in clinical field
  • RN licensure required
  • Basic Life Support
  • 3 to 5 years of experience
  • Pre Hire Assessment is required. Must pass JA Thomas competency assessment with a minimum score of >70% to be considered for position.
Preferred Qualifications and Skills:
  • BSN
  • Must be able to decipher complex medical records and have the ability to recognize treatments and diagnoses that may not be clearly documented.
  • Critical Care &/or Emergency Room &/or Case Management experience extremely desired
  • 5+ years of adult nursing experience highly desired
  • Ability to collaborate with physicians, coding team and quality is very important
  • Must be organized, analytical and have excellent writing and interpersonal skills
  • Critical thinking and interpretation is very important
  • Excellent communication and relationship building with clinical team
  • Dependable, motivated, self-directed and pleasant
  • Knowledge of Pathophysiology and disease process is highly desired
  • Basic computer skills - familiarity with Windows based software programs

About Us

SSM St. Mary s Hospital St. Louis

SSM Health St. Mary's Hospital is a two-time winner of the prestigious Premier Award for Quality. Centrally located in metro St. Louis, the 525-bed hospital has distinctive capabilities in heart attack care, high-risk pregnancies, fetal surgery, a chest pain center, advanced stroke care and the latest imaging and outpatient services.

SSM Health St. Mary s Hospital - St. Louis has received numerous awards honoring its overall leadership in clinical excellence. However, SSM Health St. Mary s Hospital also maintains top-tier clinical results in several specialty areas, such as completing all emergent heart catheterizations for heart attacks in under 90 minutes the gold standard of care for more than four years.

Our amazing clinical results earned SSM Health St. Mary s Hospital the honor of becoming a two-time Premier Quality Award winner in 2010 and 2008 and a three-time, consecutive winner of the HealthGrades Distinguished Hospital Award for Clinical Excellence.

In 2007, SSM Health St. Mary s received the prestigious Premier | CareScience National Quality Leader Award, that identified SSM Health St. Mary s as being in the top 1 percent of the nation in quality and efficiency. SSM Health St. Mary s is a member of SSM Health, the first health care organization in the country to be named a Malcolm Baldrige National Quality Award winner.

Benefits Statement:

Our robust employee benefits package includes health benefits, life and accidental death and dismemberment insurance, long-term disability coverage, health and dependent care reimbursement accounts, paid time off, tuition reimbursement, adoption reimbursement, an employee assistance program, retirement plan options and more.

Note: not all benefits apply to all openings.

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