Illinois Licensed Clinical Documentation Specialist

Job Summary

To ensure the accuracy and completeness of medical records, the part-time Illinois Licensed Clinical Documentation Specialist will perform concurrent reviews of clinical documentation, collaborate with healthcare teams, and educate providers on documentation standards while working remotely within SSM Health's four-state footprint.

Key responsibilities

• Completes initial and follow-up reviews of patient records to assign diagnoses and procedures for accurate DRG assignments
• Queries physicians for clarification on documentation and educates them on the importance of accurate health records
• Collaborates with coding professionals to reconcile DRG assignments and resolve documentation discrepancies

Required qualifications

• Graduate of an accredited nursing school, PA, NP, or medical school, or an Associate's degree with CCDS certification
• Two years of experience in an acute care setting or relevant experience
• Certified Clinical Documentation Specialist (CCDS) or equivalent medical licensure in Illinois