Clinical Documentation Specialist (Gcp Qa)
By Eikon Therapeutics At , Hayward, 94545 $107,000 - $123,000 a year
5+ years of experience in clinical documentation management.
Collaborate closely with Process, Documentation and Learning Management function, as required.
Strong project management; exhibits expertise in metrics analysis and reporting methodologies.
Demonstrated knowledge on Microsoft Office skills and well versed in industry trends and emerging technologies supporting documentation practices.
Establish and maintain curricula and learner roles in Veeva Vault training; create training requirements and release training assignments.
Sound working knowledge of Good Clinical Practice (GCP).
Med Rec Tech (Clinical Documentation Improvement Specialist (Cdis-Outpatient And Inpatient))
By US Veterans Health Administration At , Altoona, 16602, Pa $57,118 - $74,250 a year
Demonstrated Knowledge, Skills, and Abilities.
If you are relying on your education to meet qualification requirements:
Mastery level certification through AHIMA or AAPC and two years of experience in clinical documentation improvement
Knowledge of regulations that define healthcare documentation requirements, including The Joint Commission, CMS, and VA guidelines.
Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
Apprentice/Associate Level Certification through AHIMA or AAPC.
Clinical Documentation Improvement Specialist
By Tampa General Hospital At , Tampa, 33606, Fl
RN with valid Florida license and at least 5 years acute care clinical experience OR HIM degree with commensurate CDI experience.
Strong written and oral communication skills, computer literacy.
Familiar with MSDRGs, APR DRGs and coding guidelines.
Understanding of DRG assignment and impact to quality metrics and ratings.
Clinical Documentation Specialist Jobs
By Ensemble Health Partners At , Remote
Minimum of five years acute care nursing experience with specific medical/surgical, Intensive Care, or Emergency Department experience
Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrate excellent physician relations
Ability to organize and present information clearly and concisely; excellent computer and keyboarding skills; high degree of prioritization skills
CCDS (Certified Clinical Documentation Specialist) certification, preferred
Maintains and upholds all clinical documentation regulatory guidelines
4 year/ Bachelors Degree in Nursing
Clinical Documentation Specialist Jobs
By Valley Medical Center At , Renton, Wa $80,772 - $126,810 a year
Working experience with Utilization Review activities and general knowledge of JCAHO, PRO, HCFA, and other regulatory bodies.
Knowledge of third-party payer review, reimbursement systems and utilization monitoring requirements for acute care facilities.
Other duties as assigned to facilitate accurate, timely patient account management.
Minimum five years recent clinical experience as an RN working in an acute care setting or with experience in Utilization Review
Knowledge of hospital clinical practice standards for physicians and other health care providers.
Knowledge of ancillary service departments, quality control and safety standards.
Clinical Documentation Integrity Specialist (Cdis)
By Firsthand At , Remote $75,000 - $85,000 a year
Fluent knowledge of ICD-10 CM Official Guidelines for Coding and Reporting, and AHA/AMA/CMS coding resources, to support audit findings
The experience you bring to this role includes:
Support pre-visit planning by communicating to firsthand providers individuals’ potential chronic conditions and care gaps with robust and appropriate evidence
Support medical records requests when providers require additional information prior to addressing and diagnosing potential conditions
Certified Risk Adjustment Coder (CRC) from AAPC in good standing
Ability to gain proficiency in and apply productivity tools, such as spreadsheets, Google Suite, and EHR systems
Clinical Documentation Improvement Specialist
By GenesisCare At , Remote
Develop and implement of educational content that provides guidance on changes/updates to regulatory requirements for clinical documentation.
Collaborate with Compliance Auditing Team to develop and implement education for providers based on risk areas identified through formal auditing.
Work with physician leadership to develop education and training for onboarding of new and existing providers.
A sound knowledge of medical coding guidelines and regulations, including compliance and reimbursement.
Previous experience in audit or coding
Work with HIMs, Revenue Cycle, and Operational Leadership to address incomplete or delayed completion of documentation for services provided.
Clinical Documentation Specialist - Remote
By Trinity Health Michigan At , Chelsea, 48118, Mi
Demonstrates continuing expertise in data management and analysis. Able to interpret financial reports, audits, etc.
Utilizes 3M CAC/CDIS software to perform CDI function.
Contributes to financial integrity of the department through identification, implementation and evaluation of cost-effective practices.
Evaluates and integrates appropriate research findings into clinical documentation practices as appropriate.
Registered Nurse - Rn, Clinical Documentation Improvement Specialist - Remote
By UnitedHealth Group At , Plymouth, 55442, Mn $67,800 - $133,100 a year
Actively engages with Care Coordination and the Quality Management teams to continually evaluate and spearhead clinical documentation improvement opportunities
Active and unrestricted RN license within your state of residence and 4+ years of acute care experience
4+ years of experience working in critical care, ICU, trauma, etc.
1+ years of CDI experience
Experience communicating & working closely with Physicians
Current certification as a CCDS, CDIP or CCS
Remote Clinical Documentation Specialist, Fch - Corporate Quality
By Froedtert At , Remote
Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available
5+ years acute care nursing or Clinical Documentation Specialist experience required. Critical care and/or ICU experience preferred.Â
Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
Academic Partnership with the Medical College of Wisconsin
Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics

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