Clinical Documentation Specialist - 208755
By Medix™ At United States
3+ years of Clinical Documentation Improvement experience including Chart Review, Provider Querying, and Education
Registered Nurse with 5+ years ICU / ED / Acute Care / Med Surg experience
Experience in a Metrics-driven/high productivity Environment
This is a fully REMOTE, 6-month contract opportunity.
$50-55 per hour depending on experience
Based on review of the existing medical record, determines principal diagnosis, qualifying secondary diagnoses, impacting procedures and assigns appropriate working DRG.
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 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 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
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.
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
Remote - Clinical Documentation Integrity Specialist
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 Specialist Jobs
By MEMORIAL HERMANN HOME HEALTH At United States
Demonstrates competency for individual performance and development in the following areas: Customer Service, Job Skills, Resource Management, Teamwork, and Innovation.
Experience / Knowledge / Skills:
Great Opportunity for Experienced Clinical Documentation & Integrity Specialist to Work Remotely!!!
Five (5) years of inpatient, acute care at the bedside on a nursing unit; ICU experience preferred
Requires excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication
Possesses a working knowledge of many areas of adult medicine
Clinical Documentation Specialist (100% Remote)
By Talentify.io At United States
Demonstrates knowledge of payor issues, documentation opportunities, clinical documentation requirements, and referral policies and procedures.
Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
1-3 years of relevant experience, required.
Facilitates modifications to clinical documentation supporting appropriate reimbursement is received for the level of service rendered to all patients.
Improves the overall quality and completeness of clinical documentation by performing admission/continued stay reviews using clinical documentation (CD) guidelines.
Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and Hospital outcomes.
Clinical Documentation Associate Jobs
By The Steely Group At United States
Efficient and effective time management skills with ability to successfully manage competing priorities.
Train/mentor departmental and vendor staff on TMF management systems and processes.
Assist in management of internal and external assessments and corrective/preventive actions.
Manage Expected Document Lists and Milestones in Veeva eTMF
Perform/volunteer for other duties and special projects as assigned or appropriate for skill set.
Good organizational and problem-solving skills, able to work independently.
Clinical Documentation Specialist For Nursing College - Remote
By Jersey College At , Cleveland, 37311, Tn
Exceptional organizational, listening, time management and teamwork skills
Collaborate with clinical faculty and students to ensure completion of clinical orientations and site requirements
Perform other duties and responsibilities as assigned
Associates Degree or higher and/or extensive experience in healthcare
Excellent communication and presentation skills
Audit and Verification of Student Clinical Documents
Clinical Documentation Improvement Specialist
By National Park Medical Center At Arkansas, United States
Conducts educational sessions with physicians and other health care team members on documentation requirements
Conducts CDI on-boarding education of all new admitting physicians as part of the hospitals orientation program
90% of job requires computer data entry and use of software programs.
Physical Abilities & Work Environment
Other duties as assigned by the Director
Queries physicians on specificity of procedures performed and diagnosis based on accepted coding guidelines, clinical expertise and LifePoint Hospitals policy
Clinical Documentation Specialist Jobs
By Saint Luke's Health System At Kansas City, MO, United States

The best place to get care. The best place to give care

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

Clinical Documentation Specialist (Remote)
By Cognizant At Minot, ND, United States
Applying knowledge of medical terminology and procedures to evaluate clinical documents
Excellent organizational and interpersonal skills
Experience in Electronic Medical Record (EMR) software
Knowledge of best practices in medical recordkeeping
Collecting medical information from healthcare providers and updating medical records
Verifying the accuracy of patient medical information and acquiring missing information
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).
Clinical Documentation Specialist (Remote)
By UVA Medical Center At , Charlottesville, 22908 $73,445 - $117,520 a year
Responsible for the day to day evaluation of inpatient documentation in accordance with the Clinical Documentation Program requirements.
In addition to the above job responsibilities, other duties may be assigned.
Ensures the accuracy and completeness of clinical information which is used for measuring and reporting physician and hospital outcomes.
The University of Virginia, i
Clinical Documentation Improvement Specialist (Cdi) - Remote
By Trinity Health Mid-Atlantic At Langhorne, PA, United States
Strong understanding of the Catholic health ministry in an evolving health care delivery system and changing reimbursement market.
Must be comfortable functioning in a virtual, collaborative, shared leadership environment
Our Commitment to Diversity and Inclusion
Director, Clinical Documentation Jobs
By Northwell Health At , Mount Kisco, 10549 $130,300 - $228,000 a year
8-12 years of relevant experience and 7+ years of leadership / management experience, required.
Develops and manages direct reports; oversees the development and management of indirect reports.
Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
Develops and articulates a short-term strategic vision for areas of responsibility.
Builds and maintains productive inter/intra departmental and vendor work relationships to optimize operations.
Oversees compliance with government and agency regulations.
Rn Clinical Documentation Specialist - Medicare Annual Wellness Nurse - Clinic
By Ochsner Health System At , Morton
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 Quality Documentation Specialist
By Northwestern Medicine At , Huntley, 60142
Strong interpersonal, communication, conflict management, diplomacy and negotiation skills.
Applies knowledge of professional nursing standards, best practices, and interdisciplinary collaboration to advance problem analysis and resolution and creative process redesign.
Complies with Northwestern Memorial Hospital policies on patient confidentiality including HIPAA requirements and Personal Rules of Conduct.
Analytical skills necessary to independently collect analyze and interpret clinical data.
Basic computer skills and willingness to learn computer applications relative to this position.
Five years experience in medical/ surgical, critical care, intensive care or emergency care
Clinical Quality Documentation Specialist
By Northwestern Medicine At , Chicago, 60611
Strong interpersonal, communication, conflict management, diplomacy and negotiation skills.
Applies knowledge of professional nursing standards, best practices, and interdisciplinary collaboration to advance problem analysis and resolution and creative process redesign.
Complies with Northwestern Memorial Hospital policies on patient confidentiality including HIPAA requirements and Personal Rules of Conduct.
Analytical skills necessary to independently collect analyze and interpret clinical data.
Basic computer skills and willingness to learn computer applications relative to this position.
Five years experience in medical/ surgical, critical care, intensive care or emergency care
Clinical Documentation Specialist Jobs
By CoxHealth At , Springfield

Summary Job Summary This position is responsible for facilitating timely and accurate physician documentation in the medical record through concurrent chart review. Interdisciplinary communication ...

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