Clinical Documentation Specialist

Clinical Documentation CoordinatorBJC HealthCare is seeking a Clinical Documentation Coordinator. This individual will be handling specialty audits by gathering charts for denials and reviewing them and then sending the additional documentation needed. They will compile charts in EPIC. Ideal applicants will have experience working with medical records.OverviewBJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.Preferred QualificationsThe Coord, Clinical Documentation (audit) reviews, audits, collects and compiles data in relation to medical record documentation Federal and State regulatory and compliance requirements. The Coordinator audits to ensure the integrity of the medical record and that the appropriate clinical documentation has been thoroughly and timely recorded. The Coord, Clinical Documentation (audit) provides feedback and direction on new audit workflows as audits are adjusted to support areas identified via Regulatory survey action plans, or compliance gaps involving clinical documentation.ResponsibilitiesThe Coordinator, Clinical Documentation (Audit) reviews and audits medical record documentation against Federal and State regulatory compliance requirements interpreting compliance of documentation with required standards.Accurately collects and compiles data in support of regulatory survey action plans, hospital audit requirements, and any clinical documentation related requests for information for executive level reporting to BJC System committees, BJC reporting dashboards, BJC & HSO Regulatory Committees, etc.Assists Clinical Documentation Specialists in ensuring the integrity of the medical record accurately reflects clinical documentation has been thoroughly and timely recorded.Maintains and collaborates to complete collection of clinical documentation data to support timely reporting to Regulatory Teams, Hospital Leadership and other applicable teams focused on ensuring compliant clinical documentation.Minimum RequirementsEducationHigh School Diploma or GEDExperience <2 yearsPreferred RequirementsEducationAssociate or Trade School EquiExperience2-5 yearsLicenses & CertificationsRegistered Health Info TechBenefits and Legal StatementBJC Total RewardsAt BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire dateDisability insurance* paid for by BJCAnnual 4% BJC Automatic Retirement Contribution401(k) plan with BJC matchTuition Assistance available on first dayBJC Institute for Learning and DevelopmentHealth Care and Dependent Care Flexible Spending AccountsPaid Time Off benefit combines vacation, sick days, holidays and personal timeAdoption assistance*Not all benefits apply to all jobsThe above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer