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Clinical Documentation Specialist Jobs

Rn Clinical Documentation Specialist
By Ochsner Health System At , Philadelphia, Ms
Knowledge Skills and Abilities (KSAs)
Clinical expertise and knowledge of complex disease processes with a broad clinical experience in an inpatient setting.
Computer skills and dexterity for data entry and retrieval of patient information.
Broad-based clinical knowledge and understanding of pathology/physiology of disease processes.
Required – 3 years of clinical experience working with minimal supervision.
Proficient with Windows-style applications and various software packages specific to role and keyboard.
Clinical Documentation Specialist Jobs
By Sutter Health At , San Francisco, Ca $57.94 - $86.91 an hour
Equivalent experience will be accepted in lieu of the required degree or diploma.
PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:
This position is work from home eligible.
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Np Clinical Quality And Documentation Specialist (Remote)
By Vesta Healthcare At New York, NY, United States
Experience working in a remote environment
5+ years of adult/geriatric care experience (required)
3+ years of clinical documentation improvement experience, coding experience or equivalent (required)
1+ year of experience working with advanced practice providers as well as other clinical and non-clinical staff (required)
Experience with risk adjustment and value based care delivery systems
Experience with Powerpoint/Excel / Google Slides/Sheets
Outpatient Clinical Documentation Specialist
By Inova Health System At United States
Demonstrates responsibility and accountability for personal development by participating in continuing education offerings.
Interacts regularly with physicians, in the outpatient setting, providing ongoing education regarding compliant documentation.
Maintains HCC documentation requirements, ICD-10-CM code assignments and coding guidelines
Maintains integrity of data collection by ensuring accurate data entry.
Strong knowledge base in coding to include all pertinent coding guidelines
Conducts initial and follow-up concurrent reviews of medical records for assigned patients in the timeframe and frequency defined for productive work.
Clinical Document Specialist, Clinical Documentation Mgmt
By RWJBarnabas Health At New Brunswick, NJ, United States

RWJBarnabas Health is an Equal Opportunity Employer

Clinical Documentation Specialist- Remote ($40.00 - $60.00 / Hour)
By Talentify.io At United States
Utilize advanced knowledge of disease processes, medications, and critical thinking skills to identify gaps in current documentation.
Collaborate with physicians, coding, case management, nursing, and other care givers to facilitate appropriate modifications to documentation.
Certified Documentation Improvement Practitioner Certification (CDIP) or Certified Clinical Documentation Specialist Certification (CCDS)
2 years of inpatient clinical documentation experience
2+ years of medical records review experience
Recent experience working in a metric-driven production role
Clinical Documentation Analyst Jobs
By KORE1 At San Gabriel, CA, United States
Development of policies and procedures for timely and accurate charge capture mechanisms; Prepares report of findings for management
Working knowledge of hospital patient billing and managed care systems.
High school diploma or GED required; Associate's or equivalent experience required; Bachelor's preferred
Insurance/contract billing and collections. Epic experience preferred
In-depth knowledge of medical record documentation.
Verifies medical procedure documentation and completeness of the Medical Record. Requests documentation as needed to support charges.
Clinical Documentation Improvement Specialist (Remote)
By Vesta Healthcare At New York, NY, United States
Experience working in a remote environment
5+ years of adult/geriatric care experience (required)
3+ years of clinical documentation improvement experience, coding experience or equivalent (required)
1+ year of experience working with advanced practice providers as well as other clinical and non-clinical staff (required)
Experience with risk adjustment and value based care delivery systems
Experience with Powerpoint/Excel / Google Slides/Sheets
Clinical Documentation Specialist Jobs
By GQR Global Markets At Massachusetts, United States
· Strong computer skills (MS Office) including exposure to data/document management systems
· Perform data entry and reconciliation in various clinical systems and tracking tools
· Previous experience working independently and efficiently after training/onboarding
· Good communication and interpersonal skills
· Review and classify documents collected from internal and external sources
· Create, maintain, review, and archive hardcopy TMF
Clinical Documentation Specialist Jobs
By Parrish Medical Center At Titusville, FL, United States
Associates degree, or other two year college equivalent. Major required: Nursing. Graduate of an accredited RN Education Program, BSN preferred
Minimum of five (5) years nursing experience in Med/Surg., Critical Care, or similar nursing experience.
State of Florida RN license. ICD-10 training and certification preferred.
Utilizes documentation software and EMR templates to maintain accuracy of data for tracking purposes.
Formulates appropriate documentation clarification queries using established guidelines to clarify questionable or incomplete documentation.
Identifies clinical or system/process breakdowns and improvement opportunities and refers them to the appropriate areas (CM, Risk, Quality) for resolution.
Cdi Specialist (Clinical Documentation Improvement)
By MCR Health, Inc At Bradenton, FL, United States
1+ years' experience with abstracting and data entry related to clinical documentation
Required certification or license must be one of the following:
AHIMA Clinical Documentation Improvement Practitioner (CDIP) certification
1+ years' experience in population health required (3+ preferred)
1+ years' experience working in a healthcare setting required (3+ in outpatient ambulatory setting preferred)
Excellent listening and interpersonal skills
Clinical Documentation Associate Jobs
By Planet Pharma At Deerfield, IL, United States
Efficient and effective time management skills with ability to successfully manage competing priorities.
Train/mentor departmental and vendor staff on file management systems and processes.
Assist in management of internal and external assessments and corrective/preventive actions .
AA or BA/BS degree and 5 years clinical experience including organizing and coordinating Trial Master Files for clinical trials
High level of competency with Veeva eTMF and knowledge of the TMF Reference Model, supported by DIA.
Accountable for delivery of assigned TMF activities in accordance with project requirements/timelines and as outlined in the TMF Plan.
Rn Clinical Documentation Improvement Specialist
By Clinical Management Consultants At Killington, VT, United States
Prior experience working in clinical documentation improvement
CCDS certification is a plus but not required
Registered Nurse RN license in the state of Vermont or ability to obtain
Clinical Documentation Specialist - Remote ($22.45 - $43.89 / Hour)
By Talentify.io At United States
Review, abstract, and manage the upload of supporting documentation to a third-party platform
Attend and participate in team meetings and educational sessions
Has 3+ years of experience in healthcare or healthcare administration
Has CCDS, CDIP, or CCS certification
Holds CRC certification from AAPC
Lead chart review and abstraction for Medicare Risk patients
Clinical Documentation Specialist Jobs
By Odyssey Information Services At Wisconsin, United States
Improves the overall quality and completeness of clinical documentation by performing admission/continued stay reviews using Compliant Documentation Program Management® (CDPM®) guidelines.
Demonstrates knowledge of DRG payor issues, documentation opportunities, clinical documentation requirements and referral policies and procedures.
Assists with management of CDMPTrak and Serves as a member of the CDMP Task Force.
5+ years acute care nursing or Clinical Documentation Specialist experience required.
Critical care and/or ICU experience preferred.
Requires excellent observation and verbal/written communication skills, analytical thinking, and problem solving.
Remote - Clinical Documentation Integrity Specialist (Rn)
By One Medical At United States
Assists in other monitoring activities, special department projects or other needs as determined by the department manager.
Provide ongoing CDI team learning opportunities through sharing of professional knowledge.
Works closely with Operations Manager to implement MRO initiatives.
Knowledge of age-specific needs and the elements of disease processes and related procedures.
Working Knowledge of the Medicare Advantage reimbursement system and HCC Coding required.
Working knowledge of HEDIS quality specification.
Clinical & Documentation Review Consultant
By Kaiser Permanente At Oakland, CA, United States
Must be able to work in a Labor/Management Partnership (union) environment.
Bachelor's degree in health information management, business administration, healthcare administration or other related field.
Acts as the Reg-l coding contact person for the HIM Dept to support Edu & coding requirements.
High School Diploma or General Education Development (GED) required.
Demonstrated strong interpersonal and communication skills.
Working knowledge of Hierarchical Condition Category (HCC) coding and reimbursement methodology.
Sunrise Clinical Documentation Analyst
By Healthcare IT Leaders At United States
Must have 3 + years of Sunrise Clinical Documentation experience
Project will be 100% remote for duration
Supports and enhance products for enterprise resource planning, budgeting, data warehousing, and financial reporting.
Implement or enhance products and solutions following the hybrid product/project development and implementation lifecycle.
Must be able to work on a W2
Must be vaccinated for COVID-19
Clinical Documentation Improvement Specialist (Exempt)
By Infirmary Health At Mobile, AL, United States
Graduation from an accredited RN program with recent hospital experience
Working knowledge of coding principles and guidelines
Licensed as an RN in the state of Alabama
Inpatient Clinical Documentation Specialist
By Froedtert South At Kenosha, WI, United States
Experience and competency in analytical software applications.
Work on site at Froedtert Pleasant Prairie Hospital.
Actively and effectively communicate with physicians, APPs, and nursing staff about the thoroughness of documentation.
Work in conjunction with the HIM CDI and Coding staff.
Assist in identifying patient safety indicators.

Are you looking for a challenging and rewarding role in healthcare? We are looking for an experienced Clinical Documentation Specialist to join our team! You will be responsible for ensuring accurate and timely documentation of patient care, as well as providing support to clinicians and other healthcare staff. If you have a passion for healthcare and are looking for a rewarding career, this could be the perfect opportunity for you!

A Clinical Documentation Specialist is a healthcare professional who is responsible for ensuring the accuracy and completeness of medical records. They review and analyze patient records to ensure that all relevant information is documented correctly and accurately.

What is Clinical Documentation Specialist Skills Required?

• Knowledge of medical terminology and coding
• Excellent communication and interpersonal skills
• Attention to detail and accuracy
• Ability to work independently and as part of a team
• Proficiency in computer software applications
• Ability to prioritize tasks and meet deadlines

What is Clinical Documentation Specialist Qualifications?

• Bachelor’s degree in health information management, medical coding, or a related field
• Certification in medical coding or health information management
• Experience in medical coding or health information management

What is Clinical Documentation Specialist Knowledge?

• Knowledge of medical terminology, anatomy, and physiology
• Knowledge of medical coding systems and regulations
• Knowledge of health information management systems
• Knowledge of medical record documentation requirements

What is Clinical Documentation Specialist Experience?

• Previous experience in medical coding or health information management
• Previous experience in medical record documentation

What is Clinical Documentation Specialist Responsibilities?

• Review medical records for accuracy and completeness
• Ensure that all relevant information is documented correctly and accurately
• Ensure that all medical records are compliant with applicable regulations
• Monitor and audit medical records for accuracy