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Spectrum Health Sr Clinical Document Specialist - RN in GRAND RAPIDS, Michigan

Position SummaryConducts thorough analysis encompassing clinical review and assessment of patient records focusing on the documentation of the clinical condition and the care provided. Ensures that level of patient services provided is accurately and completely documented. Develops, communicates and implements solutionsrograms to address problem areas identified through quality studies or claim denials working directly with physicians and other health care professionals. Basic Qualifications: Education - Bachelor's Degree or equivalent in Nursing (for CCAP department); health care or other related field (for Denials department) Experience - 5 years of experience typically gained through skills/knowledge/abilities in in a clinical role Experience in any one or more of the following areas: insurance, utilization review, case management, coding and/or clinical documentation review (Denials department only) Licenses - Registered Nurse (RN) Mid-Level Provider licensed in the State of Michigan, or similar level of clinical training and experience Certified Clinical Documentation Improvement Specialist CCAP Department 2 Yrs Preferred Qualifications: Education - Master's Degree in health related field Licenses - Certified Clinical Documentation Improvement Specialist All unless otherwise noted