Clinical Documentation Specialist - First Reviewer
ssm healthNew York (NY)
Clinical Documentation Specialist - First Reviewer
Posted 2 days ago
ssm healthNew York (NY)
SENIORITY
Mid
About the role
Put your clinical expertise to work with flexibility. Join SSM Health as a PRN Clinical Documentation Specialist - First Reviewer and help ensure every patient’s story is accurately reflected through complete, precise clinical documentation while supporting quality outcomes and documentation integrity.
Schedule: PRN
Location:
Fully Remote for qualified candidates residing in SSM Health's four state footprint. MO, IL, OK or WI.
Job Summary:
Performs concurrent analytical reviews of clinical and coding data to improving physician documentation for all conditions and treatments from point of entry to discharge, ensuring an accurate reflection of the patient condition in the associated Diagnosis Related Group (DRG) assignments, case-mix index, severity of illness (SOI), and risk of mortality (ROM) profiling, and reimbursement. Facilitates the resolution of queries and educates members of the patient care team regarding documentation guidelines and the need for accurate and complete documentation in the health record, including attending physicians and allied health practitioners. Collaborates with coding professionals to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to determine a working and final DRG, SOI, and/or ROM.
EDUCATION
Graduate of accredited school of nursing, PA, NP, or medical school, or Associate's degree and Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialist (ACDIS)
EXPERIENCE
Two years' in an acute care setting or relevant experience
Prior experience in a Clinical Documentation role is required.
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.