Top 146 Clinical documentation improvement Jobs in St. Louis, Mo

CLINICAL DOCUMENTATION AND PI SPECIALIST - PERFORMANCE IMPROVEMENT - FT DAYS
ANDERSON HOSPITAL —Maryville, IL
- $24.05 - $41.51 an hour
- Full-time
- Nursing
- Microsoft Excel
- Hospital
Registered Nurse
PremierU —St. Louis, MO
- $30 - $40 an hour
- Full-time
- Nursing
- Vital signs
- Medication administration
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse- FT Days
Big Bend Woods Healthcare Center —Valley Park, MO
- Full-time
- Vital signs
- RN License
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
Wound Care Nurse- RN
Big Bend Woods —Valley Park, MO
- Full-time
- Background check
- Nursing
- Skilled nursing facility
- Health insurance
- Dental insurance
Quick Apply
5d
MDS Coordinator (RN) *Sign-On Bonus!*
St. Sophia Health & Rehabilitation Center —Florissant, MO
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Dental insurance
- 401(k)
Quick Apply
Operating Room Registered Nurse (RN)
SSM Health Surgery Center —Creve Coeur, MO
- Full-time
- Nursing
- Surgery
- RN License
- Health insurance
- Dental insurance
Quick Apply
7d
Pre‑Op / Post‑Op Registered Nurse (RN)
SSM Health Surgery Center —Creve Coeur, MO
- Full-time
- Nursing
- Surgery
- OSHA
- Health insurance
- Dental insurance
Quick Apply
7d
Home Health RN
Residential Home Health and Hospice —Alton, IL
- $75,000 - $100,000 a year
- Full-time
- RN License
- Pass drug screening
- Mid-level
- Paid parental leave
- Health insurance
Quick Apply
7d
Compliance Reimbursement Nurse (MDS) RN or LPN
MGM Healthcare Home Office —Creve Coeur, MO
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
Quick Apply
Clinical Data Abstractor Specialist
SSM Health —St. Louis, MO
- Full-time
- Anatomy knowledge
- Mid-level
- Bachelor's degree
- Paid parental leave
- Health insurance
Program Manager - Psychology
BJC HealthCare —St. Louis, MO
- $92,248.00 - $150,238.40 a year
- Full-time
- Nursing
- Inpatient
- Outpatient experience
- Disability insurance
- Health insurance
Epic Denials Management Operator
Deloitte —St. Louis, MO
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Epic Denials Management Coordinator
Deloitte —St. Louis, MO
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Epic Resolute Hospital Billing Associate Analyst
Deloitte —St. Louis, MO
- $50,000 - $60,000 a year
- Full-time
- Computer Science
- Mid-level
- Bachelor's degree
Medical Scribe
Oak Street Health —East Saint Louis, IL
- $17.00 - $28.46 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Infusion Nurse
LUX Infusion —St. Louis, MO
- $48 - $55 an hour
- Nursing
- Patient monitoring
- RN License
Quick Apply
Director of Clinical Services
Arch Vista —St. Louis, MO
- $75,000 - $110,000 a year
- Day shift
- Master of Social Work
- Psychiatry
- Licensed Clinical Social Worker
- Mileage reimbursement
- Paid holidays
Quick Apply
2d
Registered Nurse - Outpatient Mental Health
US Veterans Health Administration —St. Louis, MO
- $75,487 - $153,842 a year
- Temporary
- Background check
- Nursing
- Doctoral degree
- Paid time off
8d
Assistant Team Leader
Burrell Behavioral Health —St. Louis, MO
- Full-time
- Clean driving record
- Mid-level
- 3 years
- Mileage reimbursement
- Health insurance
Quick Apply
Registered Nurse- Chief Nursing Informatics Officer
US Veterans Health Administration —Jefferson Barracks, MO
- $155,783 - $207,186 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
7d

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CLINICAL DOCUMENTATION AND PI SPECIALIST - PERFORMANCE IMPROVEMENT - FT DAYS

ANDERSON HOSPITAL -
Maryville, IL

Apply Now

Job Details

Full-time
$24.05 - $41.51 an hour

Qualifications

Computer literacy
Productivity software

Full Job Description

Job Summary:

The Clinical Documentation and Performance Improvement Specialist is responsible for reviewing patient medical records to facilitate modifications to clinical documentation through concurrent (pre-bill) interaction with providers and other members of the healthcare team to promote accurate capture of clinical severity of illness and risk of mortality (later translated into coded data) and to support the level of service rendered to relevant patient populations. This position exhibits expert knowledge of clinical documentation requirements, MS-DRG Assignment, case mix index (CMI) analysis, clinical disease classifications, major and non-major complications and comorbidities (MCCs or CCs), and quality-driven patient outcome indicators. Interacts as needed with internal customers to include but not limited to hospital staff, physicians, and other revenue cycle team members. The Clinical Documentation and Performance Improvement Specialist is also responsible for managing the department's databases and data extract programs. Provides reports, promotes the use of comparative information and analyzes and recommends areas of opportunity for improved efficiency for administration, medical staff quality improvement and strategic planning purposes.

Job Responsibilities:

Participating at the organizational level in clinical documentation improvement initiatives. Completes initial medical record reviews of selected inpatient patient accounts upon admission.
Evaluate and review inpatient medical records daily, concurrent with patient stay, to identify opportunities to clarify missing or incomplete documentation.
Assign the principal diagnosis, pertinent secondary diagnoses, procedures for accurate MS-DRG assignment, and initiate a review worksheet.
Conduct follow-up reviews of patients every 2-3 days to support and assign a working or final MS-DRG assignment upon patient discharge, as necessary.
Formulate clinically, compliant and credible physician queries regarding missing, unclear or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary.
Proactively collaborate with physicians to discuss and clarify documentation inconsistencies to ensure accuracy of the medical record and appropriate capture of the course of treatment provided to the patient.
Collaborate with staff regarding interaction with physicians concerning documentation opportunities and to resolve physician queries prior to discharge.
Identify patterns, trends, variances, and opportunities to improve documentation review processes.
Aid in identification and proper classification of complication codes and present on admission (POA) determination (patient safety indicators/hospital-acquired conditions) by acting as an intermediary between coding staff and medical staff.
Contribute to a positive working environment and perform other duties as assigned or directed to enhance the overall efforts of the organization.
Educate providers about identification of disease processes that reflect SOI, complexity, and acuity.
Communicate with physicians, face-to-face or via clinical documentation inquiry forms, regarding missing, unclear or conflicting medical record documentation to clarify the information, obtain needed documentation, present opportunities, and educate for appropriate identification of severity of illness.
Demonstrate an understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix, secondary diagnosis, impact of procedures on the final DRG, and an ability to impart this knowledge to physicians and other members of the healthcare team
Collects accurate and concise data from charts and other documents to monitor indicators or perform focused studies to assess compliance with accreditation, licensure or hospital policies and procedures. Identifies deviations from normal course of events.
Analyzes data and utilizes performance improvement tools and techniques, such as graphs, run charts, control charts in performance improvement reports to the appropriate Medical Staff Departments and/or committees. Shares and displays data in formats for ease in analysis for ongoing performance improvement.
Coordinates the review of medical records as needed for submission to TJC, CMS, and QIO validation and reliability. Communicates documentation needs to appropriate staff for ease in abstraction of data. Ensures data entry is completed timely, exports data to Qnet exchange, prints edit reports, researches edits and re-exports data.
Works with various departments, physicians, teams and committees to coordinate the performance improvement process.
Submits data to national registries.
Supports ongoing improvements in data collection methods.
Develops and maintains familiarity with hardware, software and reporting tools. Including but not limited to Meditech, Microsoft Office Word, and Microsoft Office Excel.
Assures that all information generated and circulated is treated with strictest of confidentiality.

Education Requirements and Other Requirements:

Education Level: Associate Degree or Higher.

Certification/Licensure: RN or RHIT, RHIA, CCDS.

Experience Requirements: Three or more years previous clinical acute care medical/surgical nursing experience preferred. One to three years’ experience with chart review, PI process, and/or CDI work experience highly preferred. Computer skills required. Works well under stress or tight deadlines and remains flexible to changing systems and processes.

Apply Now

Refine Your Search

clinical documentation improvement jobs in st. louis, mo

CLINICAL DOCUMENTATION AND PI SPECIALIST - PERFORMANCE IMPROVEMENT - FT DAYS

Registered Nurse

Registered Nurse- FT Days

Wound Care Nurse- RN

MDS Coordinator (RN) Sign-On Bonus!

Operating Room Registered Nurse (RN)

Pre‑Op / Post‑Op Registered Nurse (RN)

Home Health RN

Compliance Reimbursement Nurse (MDS) RN or LPN

Clinical Data Abstractor Specialist

Program Manager - Psychology

Epic Denials Management Operator

Epic Denials Management Coordinator

Epic Resolute Hospital Billing Associate Analyst

Medical Scribe

Infusion Nurse

Director of Clinical Services

Registered Nurse - Outpatient Mental Health

Assistant Team Leader

Registered Nurse- Chief Nursing Informatics Officer

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