Sr. Specialist, Clinical Documentation - RBE

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 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 Clinical Informatics Specialist, 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 

• Partner 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 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 scrappy

 

Why Oak Street?

Oak Street Health offers our coworkers the opportunity to be at the forefront of a revolution in healthcare, as well as:

• Collaborative and energetic culture

• Fast-paced and innovative environment

• Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $38.82

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  
 

Our people fuel our future. Our teams reflect the customers, patie