Clinical Documentation Specialist

Qualifications
Minimum Education: Required: Bachelors Degree
Minimum Experience: Required: 3-5 years of previous job-related experience
Licensure/Certifications: Required: Current Registered Nurse License State of Illinois
Benefits
Benefits from Day One
Competitive compensation
Career Development
Tuition Reimbursement
On Site Fitness Center
Educational Stipend
Referral rewards
Responsibilities
Interacts with insurers, third party payors, and review entities such as EQ Health for Medicaid to relay clinical information and to certify inpatient care for payment
Records all interactions in department databases and software such as Allscripts
Performs utilization review and certifies patient stays by analyzing patient medical records and accompanying physician documentation
Performs concurrent review for proper patient classification and ongoing need for hospitalization, using appropriate criteria
Job description
Employment Type

Full time

Shift

Day Shift

Description

Great opportunity for a Clinical Documentation Specialist to work in an organization that focuses on treating the whole person, physically, emotionally and spiritually. Full time, Days (8am-5pm)

We are seeking a Clinical Documentation Specialist who is dedicated to providing exceptional care to those we serve at Loyola Medicine. In return, we provide a supportive atmosphere where you can grow your career and make a lasting impact.

The clinical data abstractor uses knowledge of medical necessity and appropriateness of setting as gained through a thorough understanding of milliman and interqual criteria, conducts concurrent utilization review. Interacts with insurers, third party payors, and review entities such as EQ Health for Medicaid to relay clinical information and to certify inpatient care for payment. Records all interactions in department databases and software such as Allscripts.

Performs utilization review and certifies patient stays by analyzing patient medical records and accompanying physician documentation. Performs concurrent review for proper patient classification and ongoing need for hospitalization, using appropriate criteria.

We Offer Our Employees
• Benefits from Day One
• Competitive compensation
• Career Development
• Tuition Reimbursement
• On Site Fitness Center
• Educational Stipend
• Referral rewards

Our Promise To You

Joining Loyola Medicine is being a part of an organization that treats the human spirit in our patients and in our colleagues. We are a part of a community which believes in giving back to those we serve.

Position Requirements

We seek colleagues with:

Minimum Education: Required: Bachelors Degree

Minimum Experience: Required: 3-5 years of previous job-related experience

Licensure/Certifications: Required: Current Registered Nurse License State of Illinois

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, ****** orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

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