Chicago, Illinois, USA
1 day ago
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, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 06/13/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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