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Strong fit if you like detail-heavy clinical text work in a non-remote health-system setting, collaborate with providers and HIM/coding, and care that documentation matches the care delivered. Thin external data on this listing means culture, schedule, and campus should be confirmed directly with Franciscan Health.
As a Clinical Document Specialist at Franciscan Health, a typical day centers on the medical record: reviewing charts for completeness and clarity, clarifying diagnoses and procedures with clinicians, and aligning documentation with coding and quality rules. You may query providers, track query responses, support concurrent or retrospective review, and coordinate with CDI, HIM, coding, and quality teams so the record accurately reflects care.
Build fluency in clinical terminology, anatomy, and disease processes; documentation integrity standards; and how documentation feeds coding, quality measures, and revenue cycle. Practice clear provider queries, EHR navigation, and audit-ready note review. No specific certification list or costs were provided for this posting—confirm any preferred credentials with Franciscan Health recruiters.
The listing marks remote as no; plan for United States–based, facility or health-system work unless the employer states otherwise.
Review clinical documentation for clarity and completeness, engage providers when the record needs specificity, and support accurate reflection of diagnoses and care for coding and quality use.
No certification resources or costs were supplied for this posting. Ask Franciscan Health which credentials (if any) are required or preferred for the 1.0 D position.
Clinical Document Specialist (1.0 FTE) - Franciscan Health - United States The Opportunity The Clinical Document Specialist at Franciscan Health is pivotal in enhancing the quality and completeness of clinical documentation. This role involves extensive interaction with physicians, coding staff, case managers, and other healthcare team members to ensure accurate medical record documentation that reflects diagnoses treated, procedures performed, and patient severity of illness. Day-to-Day Responsibilities Facilitate modifications to clinical documentation through concurrent interaction with physicians and coding staff using the query process to clarify information, obtain needed documentation, present opportunities, and educate for appropriate identification of severity of illness. Communicate effectively with physicians, case managers, coders, and other healthcare team members to ensure comprehensive medical record documentation that reflects clinical treatment, decisions, and diagnoses for inpatients. Utilize expertise in understanding complications, co-morbidities, severity of illness, risk of mortality, case mix, secondary diagnosis, and the impact of procedures on final DRG; share this knowledge with physicians and other members of the healthcare team. Identify patterns, trends, variances, and opportunities to improve documentation review and processes. Qualifications Associate's degree in Nursing or a related field - Required Bachelor's degree in Nursing or a related field - Preferred About the Company Franciscan Health, one of the largest Catholic health care systems in the Midwest, operates 11 ministries and access points across Indiana. We take pride in hiring compassionate, comprehensive caregivers who provide quality healthcare for our patients and communities. Applying for This Role To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there.
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