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Job Details

Senior Clinical Document Specialist - RN

Location
Hastings, MI

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Senior Clinical Document Specialist - RN
Job ID:
55965
Entity:
Corporate
Employment Classification:
Full-time with Benefits (A1)
Location:
HASTINGS, MI
Facility:
Pennock
Department:
Ccap Shared Services
Bi-weekly Hours:
80
Shift:
Day
Shift Length:
8 hours
Hours of Work:
8 a.m. to 5 p.m.
Days Worked:
Monday to Friday
Weekend Frequency:
N/A
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Company Description:
Spectrum Health is a not-for-profit, award winning, integrated health system based in West Michigan. Our organization includes a medical center, regional community hospitals, a dedicated children's hospital, a multispecialty medical group and a nationally recognized health plan, Priority Health. We invest in our people by supporting a dynamic, high-performing workplace. Our collaborative approach to patient care includes a commitment to provide an exceptional experience for patients and their families. Spectrum Health supports successful career growth in an innovative environment.
Position Summary:
Conducts thorough analysis encompassing clinical review and assessment of patient records focusing on the documentation of the clinical condition and the care provided. Ensures that level of patient services provided is accurately and completely documented. Develops, communicates and implements solutions/programs to address problem areas identified through quality studies or claim denials working directly with physicians and other health care professionals.
Qualifications:
Basic Qualifications:
Education - Bachelor's Degree or equivalent in Nursing (for CCAP department); health care or other related field (for Denials department)
Experience - 5 years of experience typically gained through skills/knowledge/abilities in a clinical role,Experience in any one or more of the following areas: insurance, utilization review, case management, coding and/or clinical documentation review (Denials department only)
Licenses - Licensed as a Registered Nurse (RN) in the State of Michigan, or Mid-Level Provider licensed in the State of Michigan, or similar level of clinical training and experience
Certified Clinical Documentation Improvement Specialist preferred or obtained within 2 years (CCAP department)
Preferred Qualifications:
Education - Bachelor's Degree or equivalent in Nursing (for CCAP department); health care or other related field (for Denials department)
Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected category.
jobDetails
Accommodation Notice, if you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health’s application process. ****
or if you prefer to use email, contact us at ****
Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected category. See more here
100 Michigan St. NE, Grand Rapids, MI 49503
866.989.7999
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