Find Your Calling At Mercy!

The Clinical Documentation Specialist provides clinically based, concurrent and retrospective reviews of inpatient medical records. Will work to identify opportunities and ensure accuracy and completeness of clinical documentation used for measuring and reporting physician and hospital outcomes. This position collaborates with inpatient care providers to ensure accurate, complete, compliant, concise, and consistent documentation that reflects the true clinical scenario of the patient’s encounter. This additionally serves to reflect the true Severity of Illness (SOI), Risk of Mortality (ROM), and intensity of services rendered to provide quality care and treatment to the patient.
Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Position Details:

Minimum Required Qualifications
Education:
RN, BSN, RHIA, RHIT, CCS, CPC, CIC, CCDS, or CDIP

Experience:
1-year related experience in acute care inpatient nursing or inpatient coding or HIM

Preferred Qualifications
Education:
RN, CCS, CPC, RHIA, RHIT, or a combination thereof
Experience:
3 years nursing, inpatient coding, or other HIM role in acute hospital setting
Knowledge of diagnosis-related groups (DRG), prospective payment systems, and hospital quality performance initiative.
Utilization review/case management experience

Certification/Registration: CCDS (Certified Clinical Documentation Specialist) from ACDIS or CDIP (Certified Documentation Improvement Practitioner) from AHIMA preferred
Other Skills and Knowledge:

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.