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.

The Clinical Documentation Specialist (CDS) supports all care teams across the region in comprehensive and targeted medical chart reviews -- to ultimately facilitate efficient and effective medical care for our patients.  CDSs are trained to be experts in structured clinical assessments, accurate and specific documentation, population health workflows, and team based care. 

Core Responsibilities:

• Completes in-depth patient chart reviews of both inpatient and outpatient medical records to ensure accurate representation of severity of illness and complexity of care

• Indicates documentation not yet included in the record, but indicated by clinical factors concurrently contained in the record, to improve both accurate and specific documentation and patient care 

• Identifies and analyzes opportunities for improving patient quality outcomes and cost of care

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

• Other duties, as assigned

What we're looking for:

• In-depth knowledge of medical coding procedures for the Medicare-eligible population, including ICD-10 and HCC codes

• In-depth knowledge of disease processes as well as medical and surgical specialities

• Ability to drive accuracy and specificity of clinical documentation and diagnostic data 

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

• 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'

Preferred qualifications:

Registered Health Information Technician (RHIT)

Certified Coding Specialist (CCS)

Certified Risk Coder (CRC)

What does being Oaky look like?

• Radiating positive energy

• Assuming good intentions

• Creating an unmatched patient experience

• Driving clinical excellence

• Taking ownership and delivering results

• Being relentlessly determined

Why Oak Street Health?

Oak Street Health is on a mission to rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient communities, and focused on the quality of care over volume of services. We are an organization on the move! With over 200+ locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oaky values and passion for our mission.

Oak Street Health Benefits: 

• Mission-focused