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98 clinical documentation improvement specialist jobs found

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clinical documentation improvement specialist
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Lake Charles Memorial Hospital
Jul 27, 2026
Full Time
Clinical Documentation Improvement Specialist - Full Time
Lake Charles Memorial Hospital Lake Charles, LA
DESCRIPTION OF POSITION: The Clinical Documentation Improvement Specialist facilitates the improvement of the overall quality, completeness and accuracy of medical record documentation. To obtain and promote appropriate clinical documentation through extensive interaction with physicians and other members of the patient care team and coding staff. To ensure Clinical Documentation reflects the level of service, severity of illness and is complete and accurate. SUPERVISION : Reports directly to the Director of CDI RESPONSIBILITIES AND DUTIES: Concurrently reviews inpatient admissions to identify opportunities to improve the quality of documentation. Complies with all relevant policies, procedures, guidelines and other regulatory, compliance and accreditation standards. Initiates physician interaction to clarify ambiguous or conflicting documentation and assure any clarification is noted in the patient record according to policy. Maintains positive and open...
Lake Charles Memorial Hospital
Jul 27, 2026
Full Time
Clinical Documentation Improvement Specialist - Full Time
Lake Charles Memorial Hospital Lake Charles, LA
DESCRIPTION OF POSITION: The Clinical Documentation Improvement Specialist facilitates the improvement of the overall quality, completeness and accuracy of medical record documentation. To obtain and promote appropriate clinical documentation through extensive interaction with physicians and other members of the patient care team and coding staff. To ensure Clinical Documentation reflects the level of service, severity of illness and is complete and accurate. SUPERVISION : Reports directly to the Director of CDI RESPONSIBILITIES AND DUTIES: Concurrently reviews inpatient admissions to identify opportunities to improve the quality of documentation. Complies with all relevant policies, procedures, guidelines and other regulatory, compliance and accreditation standards. Initiates physician interaction to clarify ambiguous or conflicting documentation and assure any clarification is noted in the patient record according to policy. Maintains positive and open...
Lake Charles Memorial Hospital
Jul 27, 2026
Full Time
Clinical Documentation Improvement Specialist - Full Time
Lake Charles Memorial Hospital Lake Charles, LA
DESCRIPTION OF POSITION: The Clinical Documentation Improvement Specialist facilitates the improvement of the overall quality, completeness and accuracy of medical record documentation. To obtain and promote appropriate clinical documentation through extensive interaction with physicians and other members of the patient care team and coding staff. To ensure Clinical Documentation reflects the level of service, severity of illness and is complete and accurate. SUPERVISION : Reports directly to the Director of CDI RESPONSIBILITIES AND DUTIES: Concurrently reviews inpatient admissions to identify opportunities to improve the quality of documentation. Complies with all relevant policies, procedures, guidelines and other regulatory, compliance and accreditation standards. Initiates physician interaction to clarify ambiguous or conflicting documentation and assure any clarification is noted in the patient record according to policy. Maintains positive and open...
Anna Jaques Hospital
Nov 10, 2026
Full Time
OP Coding Validator I
Anna Jaques Hospital United States
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Under the general supervision of the Director of Coding, the Coding Validator I is responsible for performing quality reviews on medical records to validate the ICD-10-CM, ICD-10-PCS codes or CPT, DRG or APC appropriateness, missed secondary diagnoses and procedures, and ensure compliance and accuracy of the APC and other reimbursement impacting elements. The Coding Validator I works closely with the Director of Coding and Coding leadership to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, ICD-10-PCS, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The Coding Validator I is also responsible for coding functions to support timely coding and billing. The Coding Validator I is also responsible for exceeding quality and quantity expectations while...
Marshall Medical Centers
Oct 31, 2026
Clinical Documentation Specialist-Medical Records-FT-1st shift
Marshall Medical Centers Huntsville, AL
Overview The Clinical Documentation Improvement Specialist (CDIS) implements clinical documentation improvement (CDI) activities in an effort to support accuracy and quality of the patient records and to ensure that coded diagnoses are an accurate reflection of the patient’s clinical status and care. The role of the CDI specialist involves reviewing the medical record documentation and clinical indicators and working with providers to ensure a complete and accurate medical record. An accurate medical record is important for the patient, for continuity of care by the next provider, and to demonstrate high quality care by the physician and the hospital. The CDI Specialist will identify potential gaps in clinical documentation for inpatient and payer populations as directed throughout the hospitalization. He/she will also educate physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete...
Assistant & Support Healthcare IT
Texas Health Hospital Rockwall
Nov 10, 2026
Full Time
Healthcare Emergency Communication Specialist - Dallas
Texas Health Hospital Rockwall Dallas, TX
Healthcare Emergency Communications Specialist Bring your passion to Texas Health So We Are Better + Together   Work Location: Texas Health Dallas, 8200 Walnut Hill Lane Dallas, TX 75231 Work Hours: Full-Time: Rotating Shifts Department Highlights: Paid training. Friendly family-orientated environment. Qualifications  
Emergency Medicine Therapy
Schedule:
Rotating
Anna Jaques Hospital
Nov 10, 2026
Part Time
Neurosciences Critical Care Unit Graduate Resident Nurse Progressive Care Unit, 24hrs, Day/Night Rotation
Anna Jaques Hospital Burlington, MA
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The mission of the Lahey Hospital & Medical Center (LHMC) Nursing Division is to build on a legacy of nursing excellence by caring with compassion, advancing the art and science of nursing, and advocating for the health of patients, families and communities. The Graduate Resident Nurse utilizes the nursing process as the frame of reference for practice and provides direct patient care, with supervision from a registered professional nurse to patients and families. This is an entry-level nursing position for Graduate Resident Nurses. Training, evaluation, and competencies for this role are overseen by a Nurse Leader in the department. During the first year of employment, you will be enrolled in a Nurse Residency Program. Nurse Leadership will determine a balance of Clinical and Educational time. Job Description: Essential Responsibilities including...
Nursing
Anna Jaques Hospital
Nov 10, 2026
Full Time
Clinical Pharmacy Specialist II - Oncology Lead
Anna Jaques Hospital Burlington, MA
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Clinical Pharmacy Specialist II – Oncology Lead is a working lead responsible for advancing clinical pharmacy practice and supporting the operational performance of the inpatient and infusion oncology pharmacy satellites under the direction of the Manager of Centralized Operations. This position provides direct supervision of pharmacists, pharmacy technicians, pharmacy interns, and students practicing within these areas. Responsibilities include ensuring compliance with regulatory and accreditation standards, promoting staff development and professional growth, overseeing medication inventory and stewardship initiatives, optimizing workflows, and supporting daily pharmacy operations. The Clinical Pharmacy Specialist II – Oncology serves as a key clinical and operational leader, partnering with oncology clinical pharmacy specialists, pharmacy leadership and...
Pharmacy
Jo
Nov 10, 2026
Hospice Nurse Practitioner for Pediatric patients (15K New Hire Bonus and PENSION)
Jobot New York, NY
APRN role with PENSION, 403B retirement plan, 15K new hire bonus and 4 weeks vacation This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $130,000 - $150,000 per year A bit about us: A Highly respected Health Services Management company with over 50 years of success in the NYC metro area. Why join us? Benefits: $15,000 Sign on Bonus 4 weeks Vacation 8 company paid holidays PENSION plan – Employer paid 100% at 5.75% of salary per year Employee Vesting at 5 year work anniversary 403B Retirement plan thru Lincoln Financial Medical, Dental and Vision coverage start 60 days after start date Medical Coverage thru CIGNA Dental Coverage thru choice of Cigna PPO plan or AETNA DMO plan Vision coverage thru United Healthcare FREE Online RN to BSN and MSN degree programs Dependent Tuition Reimbursement for clinical staff Annual Tuition reimbursement $4,500 529...
Home Health Nursing Nurse Practitioner
UU
Nov 09, 2026
Behavioral Health Therapist I -OCD/Anxiety IOP
UPMC - University of Pittsburgh Medical Center Pittsburgh, PA
UPMC Western Behavioral Health is currently hiring an OCD Therapist in the Pittsburgh Area! UPMC Western Behavioral Health oversees a wide array of behavioral health services. We provide cutting-edge programs and compassionate care for all types of psychiatric conditions and mental health disorders. This position is for our OCD and Anxiety Intensive Outpatient Program (IOP). The Behavioral Health Therapist will provide clinical treatment services to an OCD & Anxiety (and related disorders) population in our regional areas. This is an intensive outpatient treatment program (IOP) designed to service patients with a mental health diagnosis of OCD or Anxiety who meet dimensions for IOP treatment criteria. Experience with OCD and using ERP is preferred but not required. You will be trained and supervised by an OCD specialist. This position will work evening shifts , Monday - Friday 12:00 PM to 8:00 PM. Sign-On Bonuses up to $7,000! Responsibilities: ·...
Counseling
EH
Nov 08, 2026
Full Time
Patient Safety DRG Clinical Validation Auditor
Elevance Health Indianapolis, IN
Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.  The Patient Safety DRG Clinical Validation Auditor is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. How you'll make a difference: Analyzes and audits claims by integrating medical chart...
Assistant & Support
UF Health
Nov 08, 2026
Full Time
Spec Clinical Education-OR -RN | FT
UF Health Jacksonville, FL
Overview: The Spec Clinical Education-OR-RN performs outcomes analysis of current programs to determine needed modifications to content to enhance patient outcomes, staff performance, clinical competence and professional development. Facilitates an environment that values and enhances research, knowledge and professional development. Leads and provides support to direct reports, which includes the Laser Safety Nurse, Division Nurse Educators, Perioperative Informatics Nurse, and Clinical Quality Nurse Leaders. Responsibilities: Responsibl e for clinical decisions for all perioperative information technology (IT) systems. Functions as an internal consultant, resource person, and instructor to all levels of personnel in accordance with the philosophy and objectives of the health system and the Information Technology department. Utilizing evidence-based resources, clinical practice guidelines, and regulatory requirements to ensure standardized, required, and timely...
Nursing
Oak Street Health
Nov 08, 2026
Full Time
Medical Scribe
Oak Street Health South Bend, IN
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Medical Scribe Company: Oak Street Health Role Description: The purpose of a Clinical Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Scribes assist providers throughout the patient care journey - huddling each morning to plan for the day's visits, joining them in the exam room to observe and document, and touching base after the visit to assist with next steps....
Assistant & Support
Oak Street Health
Nov 08, 2026
Full Time
Float Medical Scribe- Bilingual Spanish
Oak Street Health Cicero, IL
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Float Medical Scribe- Bilingual Spanish Company: Oak Street Health Role Description: The purpose of a Clinical Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Scribes assist providers throughout the patient care journey - huddling each morning to plan for the day's visits, joining them in the exam room to observe and document, and touching base after the visit to...
Assistant & Support
Oak Street Health
Nov 08, 2026
Full Time
Medical Scribe - Cantonese Bilingual Required
Oak Street Health Chicago, IL
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Medical Scribe - Cantonese Bilingual Required Company: Oak Street Health Role Description: The purpose of a Clinical Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Scribes assist providers throughout the patient care journey - huddling each morning to plan for the day's visits, joining them in the exam room to observe and document, and touching base after the...
Assistant & Support
Oak Street Health
Nov 08, 2026
Full Time
Medical Scribe
Oak Street Health Gary, IN
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Medical Scribe Company: Oak Street Health Role Description: The purpose of a Clinical Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Scribes assist providers throughout the patient care journey - huddling each morning to plan for the day's visits, joining them in the exam room to observe and document, and touching base after the visit to assist with next steps....
Assistant & Support
Oak Street Health
Nov 08, 2026
Full Time
Medical Scribe
Oak Street Health NY
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Medical Scribe Company: Oak Street Health Location: 1048 Beach 20th Street Far Rockaway, NY 11691 This position is full-time, M-F from 8am to 5pm Role Description: The purpose of a Clinical Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Scribes assist providers throughout the patient care journey - huddling each morning to plan for the day's visits, joining...
Assistant & Support
Oak Street Health
Nov 08, 2026
Full Time
Medical Scribe
Oak Street Health Freeport, NY
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Medical Scribe Company: Oak Street Health Location: 14-16 Brooklyn Ave Freeport, NY 11520 This position is full time, M-F from 8am to 5pm Role Description: The purpose of a Clinical Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Scribes assist providers throughout the patient care journey - huddling each morning to plan for the day's visits, joining them in...
Assistant & Support
Oak Street Health
Nov 08, 2026
Full Time
Medical Scribe
Oak Street Health Moline, IL
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Medical Scribe Company: Oak Street Health Role Description: The purpose of a Clinical Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Scribes assist providers throughout the patient care journey - huddling each morning to plan for the day's visits, joining them in the exam room to observe and document, and touching base after the visit to assist with next steps....
Assistant & Support
Oak Street Health
Nov 08, 2026
Full Time
Medical Scribe
Oak Street Health NY
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Medical Scribe Company: Oak Street Health Location: 1048 Beach 20th Street Far Rockaway, NY 11691 This position is full-time, M-F from 8am to 5pm Role Description: The purpose of a Clinical Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Scribes assist providers throughout the patient care journey - huddling each morning to plan for the day's visits, joining...
Assistant & Support
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