Senior Clinical Documentation Improvement Specialist (Exempt)

Are you a seasoned Clinical Documentation Improvement Specialist looking for a challenging and rewarding role? Mercy is seeking a highly skilled and experienced Senior Clinical Documentation Improvement Specialist to join our team. In this role, you will play a crucial role in improving the quality and accuracy of clinical documentation, ensuring compliance with regulatory requirements, and optimizing reimbursement for the organization. As a leader in the healthcare industry, we are looking for someone who is passionate about making a difference in patient outcomes and has a strong understanding of clinical documentation best practices. If you possess excellent communication skills, attention to detail, and a drive for continuous improvement, then we want to hear from you. Join us in our mission to provide the highest quality of care to our patients.

1. Lead and manage the clinical documentation improvement process, ensuring accuracy and completeness of medical records.
2. Conduct regular audits of clinical documentation to identify areas for improvement and implement strategies to address them.
3. Collaborate with healthcare providers and coding staff to clarify and improve documentation, ensuring compliance with regulatory requirements.
4. Analyze and interpret complex medical records to identify potential gaps in documentation and provide education and feedback to healthcare providers.
5. Develop and maintain training programs for healthcare providers to improve their understanding of documentation best practices and coding guidelines.
6. Stay updated on industry trends and changes in regulatory requirements related to clinical documentation improvement.
7. Utilize data and metrics to track and report on the effectiveness of the clinical documentation improvement program.
8. Serve as a resource and mentor for other clinical documentation improvement specialists within the organization.
9. Participate in interdisciplinary teams to develop and implement initiatives to improve patient outcomes and optimize reimbursement.
10. Communicate effectively with all levels of the organization, including physicians, nurses, coders, and other healthcare professionals.
11. Adhere to strict confidentiality and privacy standards when handling sensitive medical information.
12. Continuously evaluate and improve the clinical documentation improvement process to ensure the highest level of quality and accuracy.
13. Represent the organization in external meetings and conferences related to clinical documentation improvement.
14. Foster a culture of continuous learning and improvement within the clinical documentation improvement team.
15. Adhere to all organizational policies and procedures, as well as regulatory requirements, related to clinical documentation improvement.

According to JobzMall, the average salary range for a Senior Clinical Documentation Improvement Specialist (Exempt) in St. Louis, MO, USA is $77,000-$130,000 per year.

Mercy Health Foundation is a nonprofit organization dependent on the generosity of caring individuals to support Mercy’s mission of delivering compassionate care and exceptional service to the St. Louis community.