Clinical Documentation Specialist

Your future role at a glance

Location: Remote

Facility: Seton Family of Hospitals

Department: Clinic Integrity Documentation

Schedule: Full-time | Monday - Friday | 8:00 am - 4:00 pm CST

Salary: $ 79,511.52 - $110,834.59 per year

How you’ll make an impact in this role

- Optimize Clinical Documentation : Drive measurable improvements in medical record completeness, accuracy, and overall data quality.
- Manage DRG & Database Inputs : Conduct timely admission reviews to assign and log accurate working Diagnosis Related Groups (DRGs).
- Cultivate Provider Collaboration : Partner extensively with physicians and mid-level providers to resolve documentation queries prior to patient discharge.
- Capture Care Severity : Ensure medical records precisely reflect the true severity of illness and the full level of healthcare services delivered.

What minimum requirements you’ll need

Licensure / Certification / Registration:

- One or more of the following required : Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
- Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.
- Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.
- Clinical Documentation Prof. credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
- Registered Nurse credentialed from the Texas Board of Nursing obtained prior to hire date or job transfer date.
- Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
- Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.

Education:

- High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.

- 1+ years of experience in a Clinical Documentation Integrity position needed
- Second Level Review experience and Certified Clinical Documentation Specialist (CCDS) strongly preferred
- Active Registered Nursing license in state of residence needed

Benefits that help you thrive

Benefits that help you thrive

- Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options

- Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance

- Time to recharge: pro-rated paid time off (PTO) and holidays

- Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning

- Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources

- Family support: parental leave, adoption assistance and family benefits

- Other benefits: optional legal and pet insurance, transportation savings and more

*Benefit options and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will provide the most up-to-date details during the hiring process.

Life at Ascension: Where purpose meets opportunity

In Texas, Ascension operates Ascension Providence based in Waco and Ascension Seton, which includes Dell Children’s Medical Center, the region’s only comprehensive children’s hospital and pediatric Level I trauma center, and Dell Seton Medical Center at The University of Texas, the region’s only Level I trauma center for adults. Ascension Texas has provided thousands of associates with a rewarding career in healthcare across a robust network of hospitals, clinics and other sites of care. Across the state, caregivers with Ascension Providence and Ascension Seton have served our communities for over 120 years.

Ascension is a leading non-profit, faith-based national health system made up of thousands of associates delivering compassionate, personalized care across hospitals, clinics and senior living communities.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you. At Ascension, you are part of a bigger story of care.

Equal Employment Opportunity

Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Pay Non-Discrimination Notice

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.