Sr. Specialist, Clinical Documentation

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Company: Oak Street Health

Title: Clinical Documentation Specialist (Full-time)

Location: Remote / Central 

Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patients’ communities, we can help keep them healthy and reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people across the nation. With an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about our mission to rebuild healthcare as it should be.

For more information, visit http://www.oakstreethealth.com. 

Role Description

The goal of this position is to support all care teams across the region in comprehensive and targeted chart reviews -- to ultimately facilitate efficient and effective medical care for our patients. In addition, this role will partner with regional leaders, particularly the Population Health Director and Senior CIS, to indirectly support daily huddle and CDR workflow optimization. CDSs are trained to be experts in structured clinical assessments, accurate and specific documentation, population health workflows, and team based care. 

Core Responsibilities:

• Chart Reviews

  • Access and review HIE/EMRs to identify potential suspects based on test results, etc.

  • Identify the need for Medical Records requests from Blue Button and other payer data

• Prepare and lead monthly Rejected Suspect Reviews 

• Partnership with Population Health Director on general review support

• Identify and analyze opportunities for improving patient quality outcomes and cost of care

• Analyze chronic condition prevalence based on patient demographics and identify opportunities for interventions

• Monitor clinical documentation efforts 

• Other duties, as assigned

What we're looking for:

• Ease and expertise working with multiple technical systems, including Greenway, Canopy, and Excel

• Ability to collaborate across multiple teams and engage in multiple perspectives to work toward a common goal

• Proven experience and ability to build relationships with Providers

• Proficiency in tracking down and leveraging external resources, such as hospital records, Blue Button, and payer data, to support retrospective and prospective accurate documentation

• Ability to succeed in a fast-paced, ever-changing environment

• Self-starter with a high degree of drive, initiative, and follow through

• Ability to develop, plan, and implement short and long term goals

• Exceptional interpersonal, written and verbal communication skills

• Commitment to company vision

• Experience in accurate and specific documentation

• U.S. work authorization

• Someone who embodies being “Oaky”

What it means to be OAKY:

• Radiating positive energy

• Assuming good intentions

• Creating an unmatched pat