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Clinical Documentation Specialist II, Oncology - Part Time

Job Description

Additional Job Information

  • 24 Hours per Week -
  • Days -
  • Benefits Eligible -

  • Job ID: 1215965
    Employment Status: Part-Time
    More Information:

    Missouri Baptist Medical Center, an acute care hospital in St. Louis County, offers a full continuum of medical and surgical services, including heart care, cancer care, and women’s and infants’ services. The hospital has a 24-hour adult emergency department and cares for pediatric patients at a separate emergency department in collaboration with St. Louis Children’s Hospital.

    In 2016, Missouri Baptist was named a Magnet® hospital by the American Nurses Credentialing Center (ANCC). The prestigious designation is the highest credential a healthcare organization can receive for nursing excellence and quality patient care. Missouri Baptist is the first hospital in St. Louis County to achieve this recognition, which has been accomplished by less than 7 percent of hospitals nationwide. Additionally, U.S. News & World Report ranked the hospital #2 in the St. Louis metro area.

    Missouri Baptist Medical Center is a member of BJC HealthCare, one of the nation’s largest nonprofit healthcare organizations.


    Recognized as one of the region's outstanding cancer programs, the new medical and radiation oncology areas feature improved access for patients, enlarged treatment areas, family support zones, expanded treatment space and a healing garden.


    Role Purpose

    Uses clinical and coding knowledge for conducting clinically based concurrent and retrospective reviews of both inpatient and outpatient medical records reviews to evaluate the clinical documentation of clinical services by identifying opportunities for improving the quality of medical record documentation. Facilitates and obtains appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. Contributes to content development and provider education (formal and informal), contributes to ongoing service line documentation improvement initiatives, including formal and informal provider education plans, as well as participates in department and organization projects related to documentation improvement.


  • Reviews clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician’s clinical documentation.
    Utilizes Hospital coding code set, policies and procedures, Federal and State coding reimbursement guidelines, and application of the Coding Clinic Guidelines to assign working DRG, reviewing patient records throughout hospitalization that have been identified as focus DRG by regulatory agencies or the facility to ensure the codes are reported at the highest specificity.
    Initiates physician interaction when abnormal ancillary test findings, ambiguous, missing or conflicting information is in the medical record, through the physician query process and/or participation in rounding with the physicians by requesting additional documentation for correct coding and compliance necessary for accurate reflection of CMI, LOS, and optimal resource utilization.
    Partners with other healthcare disciplines and HIMS coding staff to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to reconcile the working and final DRG, severity of illness, risk of mortality and quality outcomes.
  • Actively engages providers and establish relationships to foster shared accountability related to CDI and documentation improvement efforts.
  • Identifies trends, variances, deficiencies, and problems utilizing aggregated data and information as part of the integrated clinical documentation improvement program. Provider and group level CDI data trend analysis, issue identification and solution proposal to leadership.
  • Contributes to ongoing service line documentation improvement initiatives, including formal and informal provider education plans related to clinical documentation improvement.
    Participates in department and organization projects related to documentation improvement.
  • Contributes to content development and potential presentation to key healthcare providers education resulting from the analysis of clinical and financial information from a variety of internal and external sources for the need of accurate and complete documentation in the medical record. Provider interactions and participation in formal and informal education, including content creation, approval facilitation, meeting scheduling/frequency management, participation and possibly content delivery for all assigned service lines.

  • Minimum Requirements



  • Bachelor's Degree
  • - Nursing/Healthcare related



  • 5-10 years

    Licenses & Certifications

  • Cert/Lic in Area of Expertise


    Preferred Requirements and Additional Job Information



  • Master's Degree
  • - Nursing/Healthcare related


    Licenses & Certifications

  • Registered Nurse (RN) License
  • RN

    Clinical - Direct Skills

  • Chemotherapy Administration -
  • Oncology -
  • Registered Nurse (RN) -
  • Intravenous Therapy (IV) -
  • Infusion -

    Clinical - Non Direct Skills

  • Medical Terminology -
  • Health Information Management (HIM) -

    Benefits Statement

    Note: not all benefits apply to all openings

    -  Comprehensive medical, dental, life insurance, and disability plan options
    -  Pension Plan*/403(b) Plan
    -  401(k) plan
    -  Tuition Assistance
    -  Health Care and Dependent Care Reimbursement Accounts
    -  On-Site Fitness Center (depending on location)
    -  Paid Time Off Program for vacation, holiday and sick time

    *Pension does not apply to Memorial Hospital, Memorial Hospital East, Alton Memorial or Parkland Health Center

    Legal Statement

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.


    Equal Opportunity Employer