Senior Clinical Documentation Specialist

Facility

Ascension St. John Medical Center

Specialty: Health Information Management Operations

Schedule

Full-time | Monday-Friday | 8am-5pm Lead high-complexity clinical chart reviews to capture accurate diagnosis codes and ensure patient care journeys are fully reflected in the medical record. Collaborate directly with physicians and advanced practice providers to clarify clinical documentation, resolving gaps to support severity of illness and risk of mortality data. Drive quality improvement initiatives across market teams to uphold compliance standards, improve case mix index accuracy and elevate overall documentation practices.

Serve as a subject matter expert and mentor to guide colleagues on evolving coding guidelines, clinical indicators and CDI best practices. Licensure / Certification / Registration Required Credential(s): Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists 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 with 1 year of experience OR 5 years of applicable cumulative job specific experience required.

2 years of leadership or management experience preferred.

Additional Preferences

Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) certification Minimum 3 years of progressive Clinical Documentation Integrity (CDI) experience in an acute care setting Active Registered Nurse (RN) license or Certified Coding Specialist (CCS) credential