RN - Registered Nurse - Senior Clinical Documentation Improvement Specialist - CCDS Certification GeisingerRN - Registered Nurse - Senior Clinical Documentation Improvement Specialist - CCDS CertificationDanville, PAIt is expected that the CDIS have previous clinical skills, including an understanding of Anatomy and Physiology in order to appropriately discuss with the physician such issues as the underlying etiology, principal diagnosis, diagnostic studies, treatment modalities, to name a few. The Clinical Documentation Improvement Program (CDI) is designed to improve the physician’s documentation in the patient’s medical record, supporting the appropriate severity of illness, expected risk of mortality and complexity of care of the patient.
Clinical & Coding Specialist-Senior Independent Health AssociationClinical & Coding Specialist-SeniorBuffalo, New York$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.
Cath Lab RN Documentation Specialist / Scheduling RN - Bronson Methodist Hospital - Full-Time Days Bronson Battle CreekCath Lab RN Documentation Specialist / Scheduling RN - Bronson Methodist Hospital - Full-Time DaysKalamazoo, MIMust 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.
Clinical Document Specialist - PD Holy Name Medical CenterClinical Document Specialist - PDTeaneck, NJHoly Name is New Jersey's only independent Catholic health system, comprising a 361-bed acute care hospital, a renowned cancer center, a state-of-the-art fitness center, a residential hospice, a prestigious nursing school, and an extensive physician network. Healing at Holy Name goes beyond medicine and technology – it is infused with faith, conviction, compassion, and a commitment to educating the next generation of healthcare professionals through graduate medical education, a Pharmacy Residency Program, and our Institute for Simulation Learning.
Clinical Document Integrity Specialist 2, Managed Care Network Development Med Mgmt-Boca Raton, FT, 8:30A-5P Baptist Health South FloridaClinical Document Integrity Specialist 2, Managed Care Network Development Med Mgmt-Boca Raton, FT, 8:30A-5PBoca Raton, FL$74,100.20–$96,330.26 / yearResponsible for improving overall quality and completeness of clinical documentation through advanced concurrent review of inpatient records to support accurate, clinically valid code assignment, severity of illness and risk of mortality capture, quality outcomes, and appropriate reimbursement. Uses integrated health record workflows, technology-enabled review worklists, and data-informed insights to prioritize cases with the greatest documentation and clinical validation impact, ensuring accuracy of information used to measure and report provider and medical center outcomes.
Clinical Documentation Manager Fusion HCRClinical Documentation ManagerLas Vegas, NevadaThe leader provides oversight of concurrent query processes, supports daily CDI operations, and collaborates closely with physicians, Advanced Practice Professionals, HIM, Coding, Quality, and Revenue Cycle teams to ensure documentation accurately reflects the patient’s true clinical condition. Our client, a large healthcare organization, is seeking an experienced Clinical Documentation Improvement (CDI) Manager to drive documentation accuracy, regulatory compliance, and clinical integrity across acute care services.
Coding Documentation Education Specialist Gundersen Health SystemCoding Documentation Education SpecialistWisconsin, WIWith over 4,500 dedicated nurses and providers, we are committed to delivering primary, specialty and emergency care, along with innovative medical education programs. Our extensive network includes 11 hospitals and more than 100 clinics, serving 67 cities and rural communities across Wisconsin, Iowa, Minnesota and Michigan's Upper Peninsula.
Clinical Documentation Improvement (CDI) Specialist Exceptional Healthcare Inc.Clinical Documentation Improvement (CDI) SpecialistDallas, TXIn this role, you'll partner directly with physicians, nurses, and coders to ensure clinical documentation tells the full story — capturing the true severity of illness, the complexity of care delivered, and the outcomes that matter. This isn't a back-office job — you'll be rounding with physicians, shaping how care is captured, and making a measurable impact on quality and revenue.
Associate Clinical Documentation Improvement Specialist UnitedHealth Group Inc.Associate Clinical Documentation Improvement SpecialistConcord, CA$60,200–$107,400 / hourPrimary Responsibilities: Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical documentation that need clarification for accurate code assignment to ensure the documentation accurately reflects the severity of the condition and acuity of care provided. Engages and consults with Physician Advisor /VPMA when needed, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process.
Ambulatory Clinical Documentation Improvement Specialist Catholic Health SystemAmbulatory Clinical Documentation Improvement SpecialistBuffalo, NYPre-visit reviews are intended to identify documentation opportunities for the provider to recapture previously documented HCCs diagnoses or new HCCs not previously captured that are identified by reviewing past medical records. Summary: The Ambulatory Clinical Documentation Improvement Specialist (CDS) will assist providers in capturing the clinical documentation needed to accurately reflect patient acuity and support the appropriate diagnosis and E/M level for professional fee billing.
Clinical Documentation Specialist 4 HX - Clinical Doc Integrity - FT Days HYBRID University of California, IrvineClinical Documentation Specialist 4 HX - Clinical Doc Integrity - FT Days HYBRIDIrvine, CaliforniaFull timeAs Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center , American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
RN Clinical Documentation Integrity Specialist TalentBurst, Inc.RN Clinical Documentation Integrity SpecialistSaint Louis, ILRemote$40–$45 / hourBacked by precision, transparency, and results, we connect top talent with leading organizations through trusted partnerships. We partner with you to move quickly and connect you to opportunities aligned with your skills and long term growth.
Director Clinical Documentation Integrity System AdventHealthDirector Clinical Documentation Integrity SystemApplicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse : https://info.flclearinghouse.com/ . Promotes clear, concise, complete, accurate, and compliant clinical documentation supporting the patient's severity of illness and quality of care.
RN - Registered Nurse - Clinical Documentation Improvement Educator GeisingerRN - Registered Nurse - Clinical Documentation Improvement EducatorPennsylvaniaThrough professional growth, quality improvement, and interdisciplinary collaboration, we’ve built an innovative culture that allows nurses to grow their skillsets, develop their practice, and leverage their years of experience to build a rewarding, lasting career with impact. Monitor and evaluate reviews of select records for opportunity and accurate capture of patient acuity, severity of illness, risk of mortality, quality measure and metric support, and DRG assignment in compliance with industry rules and regulations, for completeness and accuracy of the medical record.
Clinical Documentation Improvement (CDI) Specialist Pyramid Consulting, IncClinical Documentation Improvement (CDI) SpecialistOakland, CARemote$45–$50 / hourBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. ICU, Critical Care, Emergency Department, Hospitalist, Case Management, Utilization Review, or CDI experience.
NewClinical Documentation Specialist Broward HealthClinical Documentation SpecialistFort Lauderdale, FLWe're working together to build strong communities inside and outside. Company sees the whole person and looks to support your well-being.
Nurse Educator & Clinical Training Specialist, Home Health, RN, full time VNA CareNurse Educator & Clinical Training Specialist, Home Health, RN, full timeSouthborough, MA$95,680–$99,840 / yearVNA Care focuses on promoting the health and wellbeing of patients and families by providing high-quality, cost-effective health care to vulnerable individuals in their homes, assisted living facilities, and other settings. Serves as a resource and mentor for preceptors in planning experience appropriate patient care activities for new clinicians and in giving newly hired clinician’s feedback about their progress and performance.
Lead CDI Specialist Second Level Reviewer Garnet HealthLead CDI Specialist Second Level ReviewerMiddletown, New YorkRemote$48.85–$57.90 / hourFull timeIf you’re interested in a health system that’s both growing and award-winning, serving a diverse community that provides the best of both city and rural life, we invite to make your career home with us as a Lead Clinical Documentation Specialist 2nd Level Reviewer on our Clinical Documentation Intergrity team at/in Garnet Health Medical Center-Middletown. When determining a team member’s compensation and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity) .
IT Clinical Engagement Specialist II NE GTN Technical StaffingIT Clinical Engagement Specialist II NEPhoenix, AZThe specialist will work closely with clinical leaders, IT field services, application teams, informatics teams, end users, and external vendors to ensure that clinical technology effectively supports patient care and operational needs. A large healthcare organization is seeking Clinical Applications Engagement Specialists to support the implementation, testing, adoption, and optimization of electronic health record (EHR) systems and other clinical applications.
Second Level Reviewer I PRN Remote AdventHealthSecond Level Reviewer I PRN RemoteRemoteAn equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement:- BSN and 3+ years of Clinical Documentation Specialist experience OR - 4+ years of Clinical Documentation Specialist experience OR - Less than 2 years of Clinical Documentation Integrity experience and 10 years of acute care nursing experience. Initiates and formulates CDI severity worksheets and clinically credible clarifications for inpatients, presenting opportunities for improved documentation compliance to physicians, nurse practitioners, and other clinical team members.