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121 clinical documentation specialist jobs found

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Centura Health
Full-time
 
Clinical Documentation Specialist II
Centura Health Centennial, CO, USA
Welcome to Centura Health: Welcome to Centura Health – the largest health ecosystem in Colorado and Kansas. Welcome to living your mission among thousands of people on fire to live theirs too. Welcome to options and possibility where you can chart the direction and flow of your career. Welcome to the freedom to believe in what you believe, and welcome to a family guided by shared values and a commitment to extending the healing ministry of Christ. Welcome to extremely important industry challenges and opportunities to solve complex problems. Welcome to highly intelligent teams and overflowing community. And welcome to wholeness of mind, body and spirit. Welcome to Centura Health.   Flourishing Begins Here: You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. At Centura Health, we value incredible people with incredible skills – but your commitment to a greater cause is something we value even more.   The Clinical Documentation...

Mar 21, 2023
Emory Healthcare
Clinical Documentation Specialist, PRN
Emory Healthcare Decatur, GA, USA
Clinical Documentation Specialist, PRN Division Emory Healthcare Inc. Campus Location Decatur, GA, 30033 Campus Location US-GA-Decatur Department EHI Clinical Doc Integrity Job Type PRN / Registry Job Number 106852 Job Category Nursing Schedule 8a-4:30p Standard Hours 4 Hours Description The shift for this remote PRN position is 8a-4:30p JOB DESCRIPTION: Provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation of patient acuity and to support acute care services that were delivered. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivery to accurately reflect patient severity of illness and risk of mortality. Specific reviews are both determined internally and by requirements/requests of external payers or...

Mar 20, 2023
Lakeland Regional Health
Clinical Documentation Specialist II - CDI & Clinic Qlty Doc
Lakeland Regional Health USA
CLINICAL DOCUMENTATION SPECIALIST II - CDI & CLINIC QLTY DOC (JOB ID: 17425) Work Type: Active - Benefit Eligible and Accrues Time Off Exempt: Yes Work Schedule: Monday - Friday Work Hours per Biweekly Pay Period: 80 Shift Time: M-F 0700-1530, Flexible  Location: Oates Office, Oates Building:Downtown Lakeland:FL   Position Summary Summary: The Clinical Documentation Specialist reports to the Manager of Coding and Clinical Documentation Improvement. Concurrently reviews patient records to improve documentation to reflect accurate severity of illness and intensity of service and communicates with physicians. Works collaboratively with HIM Director, HIM Coders, and Physician Advisor to ensure accurate coding, improve the quality of DRG-related documentation, improve risk of mortality, severity of illness and case mix index. Performs other duties as assigned. Position Details * Standard Work Duties: Clinical Documentation Specialist II - Actively participates in team...

Mar 17, 2023
Lakeland Regional Health
Clinical Documentation Specialist II - CDI & Clinic Qlty Doc
Lakeland Regional Health USA
CLINICAL DOCUMENTATION SPECIALIST II - CDI & CLINIC QLTY DOC (JOB ID: 17423) Work Type: Active - Benefit Eligible and Accrues Time Off Exempt: Yes Work Schedule: Monday - Friday Work Hours per Biweekly Pay Period: 80 Shift Time: M-F 0700-1530, Flexible  Location: Oates Office, Oates Building:Downtown Lakeland:FL   Position Summary Summary: The Clinical Documentation Specialist reports to the Manager of Coding and Clinical Documentation Improvement. Concurrently reviews patient records to improve documentation to reflect accurate severity of illness and intensity of service and communicates with physicians. Works collaboratively with HIM Director, HIM Coders, and Physician Advisor to ensure accurate coding, improve the quality of DRG-related documentation, improve risk of mortality, severity of illness and case mix index. Performs other duties as assigned. Position Details * Standard Work Duties: Clinical Documentation Specialist II - Actively participates in team...

Mar 17, 2023
Lakeland Regional Health
Clinical Documentation Specialist II - CDI & Clinic Qlty Doc
Lakeland Regional Health USA
CLINICAL DOCUMENTATION SPECIALIST II - CDI & CLINIC QLTY DOC (JOB ID: 17055) Position Information   Work Type: Active - Benefit Eligible and Accrues Time Off Exempt: Yes Work Schedule: Monday - Friday Work Hours per Biweekly Pay Period: Shift Time: Location: Oates Office, Oates Building:Downtown Lakeland:FL      Position Summary Summary: The Clinical Documentation Specialist reports reports to the Manager of Coding and Clinical Documentation Improvement. Concurrently reviews patient records to improve documentation to reflect accurate severity of illness and intensity of service and communicates with physicians. Works collaboratively with HIM Director, HIM Coders, and Physician Advisor to ensure accurate coding, improve the quality of DRG-related documentation, improve risk of mortality, severity of illness and case mix index. Partcipates in educating physicians as needed and during the Physician Lunch & Learns. Performs other duties as assigned.   Position...

Mar 17, 2023
Centura Health
Full-time
 
Clinical Documentation Specialist II
Centura Health Centennial, CO, USA
Welcome to Centura Health: Welcome to Centura Health – the largest health ecosystem in Colorado and Kansas. Welcome to living your mission among thousands of people on fire to live theirs too. Welcome to

Mar 21, 2023
Centura Health
Full-time
 
Clinical Documentation Specialist
Centura Health Lakewood, CO, USA
Welcome to Centura Health: Welcome to Centura Health – the largest health ecosystem in Colorado and Kansas. Welcome to living your mission among thousands of people on fire to live theirs too. Welcome to options and possibility where you can chart the direction and flow of your career. Welcome to the freedom to believe in what you believe, and welcome to a family guided by shared values and a commitment to extending the healing ministry of Christ. Welcome to extremely important industry challenges and opportunities to solve complex problems. Welcome to highly intelligent teams and overflowing community. And welcome to wholeness of mind, body and spirit. Welcome to Centura Health.   Flourishing Begins Here: You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. At Centura Health, we value incredible people with incredible skills – but your commitment to a greater cause is something we value even more.   Under indirect...

Mar 21, 2023
Centura Health
Full-time
 
Clinical Documentation Specialist
Centura Health Parker, CO, USA
Welcome to Centura Health: Welcome to Centura Health – the largest health ecosystem in Colorado and Kansas. Welcome to living your mission among thousands of people on fire to live theirs too. Welcome to options and possibility where you can chart the direction and flow of your career. Welcome to the freedom to believe in what you believe, and welcome to a family guided by shared values and a commitment to extending the healing ministry of Christ. Welcome to extremely important industry challenges and opportunities to solve complex problems. Welcome to highly intelligent teams and overflowing community. And welcome to wholeness of mind, body and spirit. Welcome to Centura Health.   Flourishing Begins Here: You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. At Centura Health, we value incredible people with incredible skills – but your commitment to a greater cause is something we value even more.   Under indirect...

Mar 21, 2023
Centura Health
Full-time
 
Clinical Documentation Specialist
Centura Health Dodge City, KS, USA
Welcome to Centura Health: Welcome to Centura Health – the largest health ecosystem in Colorado and Kansas. Welcome to living your mission among thousands of people on fire to live theirs too. Welcome to options and possibility where you can chart the direction and flow of your career. Welcome to the freedom to believe in what you believe, and welcome to a family guided by shared values and a commitment to extending the healing ministry of Christ. Welcome to extremely important industry challenges and opportunities to solve complex problems. Welcome to highly intelligent teams and overflowing community. And welcome to wholeness of mind, body and spirit. Welcome to Centura Health.   Flourishing Begins Here: You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. At Centura Health, we value incredible people with incredible skills – but your commitment to a greater cause is something we value even more.   Under indirect...

Mar 21, 2023
Centura Health
Full-time
 
Clinical Documentation Specialist
Centura Health Westminster, CO, USA
Welcome to Centura Health: Welcome to Centura Health – the largest health ecosystem in Colorado and Kansas. Welcome to living your mission among thousands of people on fire to live theirs too. Welcome to options and possibility where you can chart the direction and flow of your career. Welcome to the freedom to believe in what you believe, and welcome to a family guided by shared values and a commitment to extending the healing ministry of Christ. Welcome to extremely important industry challenges and opportunities to solve complex problems. Welcome to highly intelligent teams and overflowing community. And welcome to wholeness of mind, body and spirit. Welcome to Centura Health.   Flourishing Begins Here: You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. At Centura Health, we value incredible people with incredible skills – but your commitment to a greater cause is something we value even more.   Under indirect...

Mar 21, 2023
Centura Health
Full-time
 
Clinical Documentation Specialist
Centura Health Pueblo, CO, USA
Welcome to Centura Health: Welcome to Centura Health – the largest health ecosystem in Colorado and Kansas. Welcome to living your mission among thousands of people on fire to live theirs too. Welcome to options and possibility where you can chart the direction and flow of your career. Welcome to the freedom to believe in what you believe, and welcome to a family guided by shared values and a commitment to extending the healing ministry of Christ. Welcome to extremely important industry challenges and opportunities to solve complex problems. Welcome to highly intelligent teams and overflowing community. And welcome to wholeness of mind, body and spirit. Welcome to Centura Health.   Flourishing Begins Here: You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. At Centura Health, we value incredible people with incredible skills – but your commitment to a greater cause is something we value even more.   Under indirect...

Mar 21, 2023
Centura Health
Full-time
 
Clinical Documentation Specialist
Centura Health Littleton, CO, USA
Welcome to Centura Health: Welcome to Centura Health – the largest health ecosystem in Colorado and Kansas. Welcome to living your mission among thousands of people on fire to live theirs too. Welcome to options and possibility where you can chart the direction and flow of your career. Welcome to the freedom to believe in what you believe, and welcome to a family guided by shared values and a commitment to extending the healing ministry of Christ. Welcome to extremely important industry challenges and opportunities to solve complex problems. Welcome to highly intelligent teams and overflowing community. And welcome to wholeness of mind, body and spirit. Welcome to Centura Health.   Flourishing Begins Here: You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. At Centura Health, we value incredible people with incredible skills – but your commitment to a greater cause is something we value even more.   Under indirect...

Mar 21, 2023
Centura Health
Full-time
 
Clinical Documentation Specialist
Centura Health Colorado Springs, CO, USA
Welcome to Centura Health: Welcome to Centura Health – the largest health ecosystem in Colorado and Kansas. Welcome to living your mission among thousands of people on fire to live theirs too. Welcome to options and possibility where you can chart the direction and flow of your career. Welcome to the freedom to believe in what you believe, and welcome to a family guided by shared values and a commitment to extending the healing ministry of Christ. Welcome to extremely important industry challenges and opportunities to solve complex problems. Welcome to highly intelligent teams and overflowing community. And welcome to wholeness of mind, body and spirit. Welcome to Centura Health.   Flourishing Begins Here: You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. At Centura Health, we value incredible people with incredible skills – but your commitment to a greater cause is something we value even more.   Under indirect...

Mar 21, 2023
Novant Health
Clinical Document Specialist Ambulatory
Novant Health Wilmington, NC, USA
Overview ***NON REMOTE ROLE*** MUST LIVE IN WILMINGTON, NC The Ambulatory Clinical Documentation Specialist (CDS) core functions include assessing, planning and implementing individual, specific education to clinicians, validating payer contract performance around HCC capture and recapture, and participating in the annual CMS Quality Payment Program reporting process. The Ambulatory CDS develops individual specific education for clinicians regarding Risk Adjustment methodology (impact of Risk Adjustment Factor (RAF) and Hierarchical Condition Category (HCC)), coding and documentation guidelines and requirements as well as service line specific requirements, to clinicians. Clinicians include physicians, APPs and clinical staff. Performed via face to face encounters in small and large group settings as well as electronically. The CDS uses clinical/nursing knowledge, and understanding of coding guidelines (ICD-10-CM, CPT and HCPCS Level II) and...

Mar 23, 2023
Parkview Health
Clinical Documentation Lead
Parkview Health Fort Wayne, IN, USA
Summary Reviews clinical documentation in the medical record to ensure the record accurately reflects the care provided. Asks for clarifications from the medical staff via written/verbal communication to obtain accurate and complete physician documentation that supports the severity of illness and the intensity of service. Serves as the bridge between coding and clinical staff. Performs concurrent and retrospective second level reviews on specific types of opportunities. Cases could include low acuity discharges to hospice and mortalities, low acuity DRGs with long LOS, specific DRG opportunities based on analytics, PSIs, HACs, etc. Runs and reviews reports through several sources and utilizes information as follows: analyzes data and key metrics to identify potential opportunities for CDI staff and physicians; strategizes approach and process refinements to capture opportunity within the CDS team (prioritization, assignment, etc.); and tracks progress...

Mar 07, 2023
Emory Healthcare
Clinical Documentation Improvement Specialist
Emory Healthcare Atlanta, GA, USA
Clinical Documentation Improvement Specialist Division Emory Healthcare Inc. Campus Location Atlanta, GA, 30342 Campus Location US-GA-Atlanta Department EHI Clinical Doc Integrity Job Type Regular Full-Time Job Number 106348 Job Category Nursing Schedule 8a-4:30p Standard Hours 40 Hours Overview *Seeking experienced CDI professional for this full-time position. Description The shift for this position is 8a-4:30p   JOB DESCRIPTION: Provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation of patient acuity and to support acute care services that were delivered. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivery to accurately reflect patient severity of illness and risk of mortality. Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies and play a significant role in reporting quality of care...

Mar 20, 2023
Emory Healthcare
Clininical Documentation Specialist, PRN
Emory Healthcare Atlanta, GA, USA
Clininical Documentation Specialist, PRN Division Emory Healthcare Inc. Campus Location Atlanta, GA, 30308 Campus Location US-GA-Atlanta Department EHI Clinical Doc Integrity Job Type PRN / Registry Job Number 106370 Job Category Nursing Schedule Other Standard Hours 4 Hours Overview *Seeking an experienced CDI professional for this remote PRN position to work 4 hour shifts as needed.   Description The schedule for this remote PRN position will be for 4 hours per day.    JOB DESCRIPTION: Provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation of patient acuity and to support acute care services that were delivered. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivery to accurately reflect patient severity of illness and risk of mortality. Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies...

Mar 20, 2023
UCLA Health and David Geffen School of Medicine
RN - Emergency Department - Santa Monica
UCLA Health and David Geffen School of Medicine Santa Monica, CA, USA
Description Underdirect supervision of the Unit Director and Clinical Nurse Specialist/ClinicalEducator-Supervisor, the primary responsibilities of the clinical nurse includethe direct nursing care of patients utilizing the nursing process; developmentand application of leadership, management, and communication concepts; teachingof patients and staff; maintenance of professional standards in the NethercuttEmergency Medicine Center at SMH. Salary range: $56.63-$84.19 Hourly Qualifications We’re seeking ahighly-skilled, self-motivated nursing professional with: * Graduate of an accredited school of nursing with a BSN or MSN degree required * Current and valid California RN license required. * Current BLS, ACLS, and PALS from the American Heart Association or American Red Cross required. * One year of direct patient care in an emergency department setting required. * Official Transcripts and/or original diploma from a registered nursing program must be provided upon...

Mar 23, 2023
UCLA Health and David Geffen School of Medicine
RN - Emergency Department - Santa Monica
UCLA Health and David Geffen School of Medicine Santa Monica, CA, USA
Description Underdirect supervision of the Unit Director and Clinical Nurse Specialist/ClinicalEducator-Supervisor, the primary responsibilities of the clinical nurse includethe direct nursing care of patients utilizing the nursing process; developmentand application of leadership, management, and communication concepts; teachingof patients and staff; maintenance of professional standards in the NethercuttEmergency Medicine Center at SMH. Salary range: $56.63-$84.19 Hourly Qualifications We’re seeking ahighly-skilled, self-motivated nursing professional with: * Graduate of an accredited school of nursing with a BSN or MSN degree required. * Current and valid California RN license required. * Current BLS, ACLS, and PALS from the American Heart Association or American Red Cross required. * One year of direct patient care in an emergency department setting required. * Official Transcripts and/or original diploma from a registered nursing program must be provided upon...

Mar 23, 2023
UVA Health System
Full time, Full Time
 
Registered Nurse (RN) Home Health - Wound Specialist $15,000 Sign On Bonus
UVA Health System Charlottesville, VA, USA
$15,000 SIGN ON BONUS, $5,000 RELOCATION AVAILABLE. Contact AskHR@Virginia.edu for more information on relocation benefits. Are you interested in joining a supportive and brilliant team while providing patients high-quality and state-of-the-art care? The home care RN is a dynamic professional clinician focused on population management with demonstrated capability to provide relationship-based care within a multidisciplinary team. The home care RN utilizes advanced critical thinking to develop, implement, and evaluate an individualized plan of care for a variety of complex patients in collaboration with patients, families, physicians, and the Continuum therapy staff. Continuum’s goal is to educate and empower patients and families and achieve exceptional patient outcomes. Specific skills you will use and develop as a Continuum home health nurse are complex wound care, infusion care, and more!! This job description integrates the ANA 2015 Nursing: Scope and Standards of Practice,...

Mar 22, 2023
UVA Health System
Full time, Full Time
 
RN Care Coordinator - Endocrine Clinic - FONTAINE
UVA Health System Charlottesville, VA, USA
UP TO $10,000 SIGN ON BONUS A dynamic professional clinician focused on population management with demonstrated capability to provide relationship-based care within a collaborative multidisciplinary team. This registered nurse utilizes advanced critical thinking to develop, implement, and evaluate an individualized plan of care that educates, empowers and optimizes patient outcomes throughout all transitions within the continuum of care. This job description integrates the ANA 2015 Nursing: Scope and Standards of Practice, Third Edition and the ANA Code of Ethics for Nurses with Interpretive Statements (ANA, 2015), and the UVA Nursing Professional Practice Model. ANA Scope and Standards of Practice definition of nursing: Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals,...

Mar 22, 2023
UVA Health System
Full time, Full Time
 
Registered Nurse - Continuum Home Health Augusta County, Sign On Bonus Available
UVA Health System Charlottesville, VA, USA
$15,000 SIGN ON BONUS, $5,000 RELOCATION AVAILABLE. Please contact Allyson Monahan at ezw3qk@virginia.edu for more information. Are you interested in joining a supportive and brilliant team while providing patients high-quality and state-of-the-art care? The home care RN is a dynamic professional clinician focused on population management with demonstrated capability to provide relationship-based care within a multidisciplinary team. The home care RN utilizes advanced critical thinking to develop, implement, and evaluate an individualized plan of care for a variety of complex patients in collaboration with patients, families, physicians, and the Continuum therapy staff. Continuum’s goal is to educate and empower patients and families and achieve exceptional patient outcomes. Specific skills you will use and develop as a Continuum home health nurse are complex wound care, infusion care, and more!! The Home Care RN Clinician 2 is an experienced capable clinician focused on...

Mar 22, 2023
Intermountain Health
Full time, Full Time
 
New Grad RN - Intensive Care Unit
Intermountain Health Provo, UT, USA
locations Utah Valley Hospital time type Full time posted on Posted Yesterday job requisition id R66269 Job Description: The Nursing Graduate works under direct line-of-sight supervision of the Registered Nurse in the clinical setting and participates appropriately in the patient care delivery process. The incumbent also orients to the RN assignment, excluding independent nursing care. This position may participate in medication administration under the direction and supervision of the licensed RN. Job Description: The New Grad RN position is for recent RN graduates or those with less than one year of RN experience.  Those hired as a New Grad RN will work under a licensed RN until license can be verified.  In conjunction with working on this unit New Grad RNs attend Intermountain’s one-year nurse residency program.  The nurse residency program supports New Grad RNs in their transition from classroom to caregiver through 72 paid clinical hours, webinars, simulations, case...

Mar 22, 2023
Atrium Health
Oncology Research RN Specialist - Phase 1 Levine Cancer Institute - Charlotte - FT
Atrium Health Charlotte, NC, USA
Overview Job Summary Assists with the coordination of clinical, regulatory, business, and other research- related activities and documentation for clinical trials conducted by the Levine Cancer Institute, following industry standards and applicable regulations including FDA/OHRP guidances, GCP and ICH. Essential Functions Assists with clinical, regulatory, business, and other documentation associated with oncology research projects/clinical trials within LCI. Participates in the study project start-up activity, working with the PI and others to initiate new research projects. Maintains protocol amendments, deviations, and informed consent changes regarding oncology research studies, assuring all documentation is managed compliantly and maintained in an audit-ready manner. Maintains appropriate documentation, (i.e. FDA Form 1572, CTSU documentation, IRB approval letters, ICFs, etc.) for assigned studies. Assists in...

Mar 21, 2023
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