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Ascension · 3 days ago

Clinical Documentation Specialist

Elk Grove Village, IL

Full-time

Onsite

Entry Level

$79K/yr - $110K/yr

1+ years exp

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates. They are seeking a Clinical Documentation Specialist to improve the quality and accuracy of medical record documentation and collaborate with healthcare professionals to ensure compliance with documentation standards.

CharityHealth CareHospitalNon Profit

H1B Sponsor Likely

Responsibilities

Facilitate improvement in overall quality, completeness and accuracy of medical record documentation

Complete admission reviews and assign a working Diagnosis Related Group

Ensure the working DRG and other information are entered in the Clinical Documentation Improvement database

Initiate and maintain extensive interactions with physicians and mid-level providers to address the need for more detailed information in the medical record

Collaborate with healthcare professionals to ensure the severity of illness and level of services provided are accurately reflected in the medical record and to resolve physician queries and documentation issues prior to patient's discharge

Maintain accurate records of review activities, ensuring reports and outcomes of CDI efforts are valid

Qualification

Certified Coding Specialist (CCS)Certified Professional Coder (CPC)Clinical Documentation Prof.Registered Nurse (RN)Risk Adjustment Coding (CRC)ICD-10 codingHCC codingChronic condition codingMedical practice experienceCommunication skills

Required

Must live in Illinois due to weekly travel requirement

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

Registered Nurse credentialed from the Illinois Department of Financial and Professional Regulation 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

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

Minimum Education: High School Diploma or Equivalent

Preferred

Approved Local Exception

Medical Assistants with ICD-10 coding experience strongly recommended to apply

Candidates must have the following certification thru AAPC (credentialing board): Certified Risk Adjustment Coder (CRC) - STRONGLY PREFERRED

1 year RISK CODING experience, preferred (NEW GRADUATES WELCOME)

Experience in HCC or chronic condition coding

Experience in medical practice outpatient setting

Benefits

Paid time off (PTO)

Various health insurance options & wellness plans

Retirement benefits including employer match plans

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Ways to give back to your community

Company

Ascension

Glassdoor3.4

Answering God's call to bring health, healing and hope to all.

Founded in 1999

St Louis, Missouri, USA

10001+ employees

https://healthcare.ascension.org

H1B Sponsorship

Ascension has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

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Trends of Total Sponsorships

2025 (11)

2024 (7)

2023 (1)

2022 (3)