Clinical Documentation Specialist Montefiore St. Luke's CornwallClinical Documentation SpecialistRemoteCDIS facilitates modifications to clinical documentation through concurrent interaction with physicians and other clinicians to ensure that documentation reflects complete and accurate level of service rendered to patients. The Clinical Documentation Integrity Specialist (CDIS) is responsible for improving the overall quality and completeness of clinical documentation.
RN Specialist - Clinical Documentation- Full Time Baptist Health CareRN Specialist - Clinical Documentation- Full TimePensacola, FloridaThe organization includesthree hospitals, four medical parks,Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama.
Hospital CDI Specialist - PT - Day - Clinical Documentation Improvement Pennington NJ Capital HealthHospital CDI Specialist - PT - Day - Clinical Documentation Improvement Pennington NJHopewell, New JerseyExperience: Two years’ recent clinical experience in an acute care setting, preferable ICU or Medical/Surgical, or three years related coding experience or clinical documentation improvement specialist experience in a hospital setting. Ensures that medical record documentation provides an accurate representation of the patient's clinical complexity, diagnoses, severity, and expected risk of mortality to support accurate DRG assignment and quality measure reporting.
NewClinical Documentation Specialist GuidehouseClinical Documentation SpecialistGreenville, South CarolinaInitiates compliant physician queries when documentation is confusing, ambiguous, or missing and follows up with MD to seek immediate response to query (utilizing the following AHIMA practice briefs as a guide: “ Managing an Effective Query Process ,” October 2008 and “Guidance for Clinical Documentation Improvement Programs” , May 2010). Reviews daily admissions to assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial and follows up case reviews (or worksheet to include code and DRG assignment) and submit to Program Assistant.
Clinical Coding Specialist SmarterDxClinical Coding SpecialistRemoteAs an Inpatient Coding Specialist at SmarterDx, you will be responsible for conducting comprehensive chart reviews and coding validation of AI diagnostic models to support coding improvement. Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) credentials.
Clinical Documentation Specialist RN - FT - Days Vitruvian HealthClinical Documentation Specialist RN - FT - DaysDalton, GeorgiaWith over 80 points of access across the region, including Hamilton Medical Center and Bradley Medical Center, we offer the opportunity to be part of something bigger: a connected, mission-driven team changing lives every day. As northwest Georgia and southeast Tennessee’s leading healthcare system, we are committed not only to the health of our communities, but also to the growth, support, and success of our team members.
Clinical Documentation Integrity Specialist (Roseville) Adventist Health SystemClinical Documentation Integrity Specialist (Roseville)Roseville, CAWorking under the direction of quality leader, this role reviews patient records, recommends provider queries using established templates, and helps ensure documentation supports appropriate coding. Job Requirements: Education and Work Experience: Associate''s/Technical Degree in Nursing, Health Information Management, or related clinical field or equivalent combination of education/related experience: Required.
RN Clinical Documentation Specialist Huntsville Hospital Health SystemRN Clinical Documentation SpecialistHuntsville (Cochran Center), AlabamaWith 971 beds, a specialized Orthopedic & Spine Tower, a Level III Regional Neonatal ICU, and the largest Emergency Department and Level 1 Trauma Center in the state with our own specialized Red Shirt Trauma Program, there are many opportunities to apply your knowledge and skills. We offer a training center on campus for continuing education, Shared Governance Program, Clinical Ladder for professional development, The Daisy Award, and if you are a new grad, a Nurse Residency Program to help you transition from student to professional nurse.
Clinical & Coding Specialist-Senior Independent HealthClinical & Coding Specialist-SeniorBuffalo, NY$33.50–$38 / hourMinimum of one of the following certifications or licensures: Certified Inpatient Coder (CIC), Registered Health Information Management Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Clinical Documentation Specialist (CCDS), American Health Information Management Association (CCS-H, CCS-P), Certification Denials and Appeals Management (C-DAM), or NYS licensed RN or LPN required. Expertise and proficiency demonstrated by long-standing, consistent results, advanced coding knowledge and auditing skills evidenced by their ability to train others, to identify coding patterns and share knowledge and audit tips across the team.
Clinical Operations Specialist SmarterDxClinical Operations SpecialistRemoteAs a Clinical Operations Specialist at SmarterDx, you will be responsible for conducting comprehensive chart reviews and clinical validation of AI diagnostic models to support clinical documentation improvement. Minimum of 2 years of experience in healthcare, preferably in a clinical setting, and a clinical documentation/coding role.
Cath Lab RN Documentation Specialist / Scheduling RN - Bronson Methodist Hospital - Full-time Days Bronson Healthcare GroupCath Lab RN Documentation Specialist / Scheduling RN - Bronson Methodist Hospital - Full-time DaysMust possess exceptional communication and interpersonal skills • Must be self-directed and flexible • Must demonstrate positive relationships with physicians and peers • Must possess leadership abilities and promote collaboration • Must be willing to accept high level of responsibility and accountability • Must be able to move about hospital and between workstations, while maintaining positive interdepartmental relations. The RN-Clinical Documentation Specialist (RN-CDS) utilizes advanced coding knowledge, functional health patterns physiology, pathophysiology, and psychosociology to direct efforts toward the improvement of clinical documentation through the role of educator and consultant.
NewRegistered Nurse (RN) - Clinical Documentation Specialist (Remote) Commonwealth of VirginiaRegistered Nurse (RN) - Clinical Documentation Specialist (Remote)Charlottesville, VARemote$110,000–$124,000 / yearblocks--linked-image#click keydown.enter->blocks--linked-image#click" data-controller="" data-open-newtab="false" id="page_block_1abc4ef3edc569846f0d83e2f82d8d57" style="background-image: linear-gradient(rgba(0, 0, 0, 0.5),rgba(0, 0, 0, 0.5)), url(" https://d25wby5c7p9100.cloudfront.net/public/uploads/599e9569ce634cc6f690338b21af637e/images/files/b11c644db1e4b7c02146bb405507b1a2/large/mountainview.jpg?1674243607");background-position : 50% 50%" title="Virginia Mountain View">. Title: Dean of Business, Mathematics, and Technology Agency: Piedmont Virginia Community College Location: Albemarle - 003 FLSA: Exempt Hiring Range: $110,000 - $124,000 Full Time or Part Time: Full Time Additional Detail Job Description: Student Support Case Worker.
Supervisor, Clinical Documentation Integrity (Remote) Trinity HealthSupervisor, Clinical Documentation Integrity (Remote)Livonia, MichiganRemote$47.23–$70.85 / hourResponsible for scheduling and staffing assignments for the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator positions, facilitating management of personal time off and schedule change requests, assuring adequate staffing is in place. Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within the medical record and supports the patient’s severity of illness, risk of mortality, clinical validity and proper DRG assignment.
Clinical Documentation Improvement Specialist Health Information AssociatesClinical Documentation Improvement SpecialistRequired Skills and Experience • Recognized CDI credential from ACDIS (CCDS) • Current RN license • Current AHIMA or AAPC coding credential preferred • Three or more years of experience working as a clinical documentation specialist • Three years or more of clinical experience in an acute care setting Job Requirements Essential Duties and Responsibilities: • Adhere to all coding and clinical documentation improvement guidelines endorsed by ACDIS and AHIMA • Analyze records for potential query opportunities, appropriate DRG assignment, severity of illness, risk of mortality, and case mix data, as well as clinical indicators (HACs, PSI, mortality, etc.) • Research, analyze, and respond to inquiries regarding queries issued and their compliance, potential coding errors, diagnoses at risk for denials, and reconciliation of CDI reviewed charts. Performance and Professionalism • Maintains strict confidentiality and adheres to HIPAA guidelines • Exhibits professional demeanor at all times • Maintains communication by responding promptly to corporate office staff • Demonstrates flexibility, open mindedness, and versatility in adjusting to changing environments • Handles constructive feedback with a positive attitude • Receptive to suggestions for changing or improving the way work is accomplished.
NewClinical Documentation Coordinator (Hybrid) -- Las Vegas, NV Global Force USAClinical Documentation Coordinator (Hybrid) -- Las Vegas, NVLas Vegas, NVOption 3: Certification in one of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA), issued by the American Health Information Management Association, Certified Professional Coder (CPC), Certified Professional Coder-Physician-based (CPC-P), AND one of the following: Certified Document Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist-Outpatient (CCDS-O). Facilitates modifications to clinical documentation through extensive interactions with physicians, nursing staff, other members of the health care team and Health Information Management (HIM) coding staff to ensure that appropriate reimbursement and clinical severity is captured for the level of service rendered to all patients with a DRG based payer.
Clinical Documentation Specialist - DRG Appeals Catholic HealthClinical Documentation Specialist - DRG AppealsMelville, New York$130,000–$170,000 / yearContinuously evaluates the quality of clinical documentation to identify incomplete or inconsistent documentation, clinical validation for inpatient diagnoses that impact the code selection, resulting DRG, and payment. Provides feedback to HIM management staff and CDI leadership regarding opportunities for documentation improvement, and participates with the planning and development of educational programs directed towards improving documentation.
Senior Clinical Documentation Integrity Specialist AdventHealthSenior Clinical Documentation Integrity SpecialistApplicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse : https://info.flclearinghouse.com/ . Experience with Medicare risk adjustment, Hierarchical Condition Categories, coding, billing, auditing and various healthcare payers (Preferred) [Preferred].
Clinical Documentation Improvement Specialist Beth Israel Lahey HealthClinical Documentation Improvement SpecialistThe Clinical Documentation Improvement (CDI) Specialist II assists with the appropriate identification of diagnoses, conditions, and/or procedures that are representative of the patient’s hospital stay and care provided including Severity of Illness (SOI), Risk of Morality (ROM), during an inpatient hospitalization. CDI Specialist II initiates concurrent queries to providers as supported by medical record documentation to improve the accuracy, integrity, and quality of patient data, and drive improvement toward quality physician documentation within the body of the medical record.
Ambulatory Clinical Documentation Integrity Specialist (Remote) Trinity Health CorporationAmbulatory Clinical Documentation Integrity Specialist (Remote)Livonia, MIRemoteCertified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation Specialist- Outpatient (CCDS-O), Certified Documentation Expert Outpatient (CDEO), or Certified Documentation Integrity Practitioner (CDIP) credential with coding or clinical documentation integrity experience. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
Post-Acute Clinical Documentation Integrity Specialist Sarasota Memorial Health Care SystemPost-Acute Clinical Documentation Integrity SpecialistSarasota, FloridaFull timeJob Summary: The Post-Acute Clinical Documentation Integrity Specialist is responsible for facilitating the improvement in the overall quality and completeness of clinical documentation to support coding in the post-acute inpatient setting, and will be responsible for reviewing daily new admission inpatient post-acute medical records, as well as, subsequent reviews while patient is still in-house (concurrent) until discharged. - Prefer knowledge of Prospective Payment System methodology in area of hire (Skilled Nursing Facility Prospective Payment System - Patient Driven Payment Model (PDPM); Inpatient Rehabilitation Facility – Case Mix Group (CMG); Long Term Care Hospital – MS-LTC-DRG).