297 clinical documentation specialist jobs found

Position Title: Clinical Documentation Specialist Department: Clinical Document Improvement Job Description: Job Description New to OU Health?  Ask your recruiter about our competitive wages and total rewards package! Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment . General Description Under the direction of CDI leadership, the CDI Specialist I is responsible for reviewing inpatient medical records to support accurate, complete, and compliant clinical documentation. This role focuses on foundational CDI functions, including identification of documentation gaps, formulation of compliant queries, and collaboration with providers and interdisciplinary teams to ensure the medical record reflects the patient’s clinical condition, severity of illness, risk of mortality, quality outcomes, and services rendered. Essential Job Duties Responsibilities...

Overview Responsible for facilitating the improvement in the overall quality and completeness of medical record documentation. Obtain appropriate clinical documentation through extensive interaction with physicians, nursing, patient caregivers, and coders. To ensure that appropriate patient centered clinical data, quality metrics and reimbursement is received for the level of services rendered. That the clinical information utilized in profiling and reporting outcomes is complete and accurate. On a consistent basis the individual will maintain ongoing education relative to CDI/ACDIS/AHIMA and the Coding Clinic. Qualifications Education required:  Graduate of an accredited school of nursing Education preferred: Associates Degree in Nursing or BSN, MSN License, Certification and/or Registration: Current Alabama Nursing License. CCDS Certification Preferred or will obtain post 2-3years. Experience:  Prefer at least...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

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...

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...

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...

Job Summary:    Assist with development and execution of a planned, systemic, system-wide approach to process design and performance measurement, assessment, improvement, and reporting. Perform data collection and analysis, trend identification for assigned clinical outcomes, and present this data at the appropriate meetings as defined or needed. Serve as team member or facilitator, responsible for promoting and monitoring safe, high-quality, cost-effective healthcare with the best clinical outcomes possible. Provide physician and nurse education to achieve compliance with best practice and evidence-based guidelines. Facilitate interdisciplinary collaboration to measure and assess processes and outcomes, and proactively identify potential solutions with the multidisciplinary team and appropriate service line leaders and directors. Gather and disseminate clinical performance improvement information and quality initiatives to the service lines, hospital and medical staff...

Job Summary:    Assist with development and execution of a planned, systemic, system-wide approach to process design and performance measurement, assessment, improvement, and reporting. Perform data collection and analysis, trend identification for assigned clinical outcomes, and present this data at the appropriate meetings as defined or needed. Serve as team member or facilitator, responsible for promoting and monitoring safe, high-quality, cost-effective healthcare with the best clinical outcomes possible. Provide physician and nurse education to achieve compliance with best practice and evidence-based guidelines. Facilitate interdisciplinary collaboration to measure and assess processes and outcomes, and proactively identify potential solutions with the multidisciplinary team and appropriate service line leaders and directors. Gather and disseminate clinical performance improvement information and quality initiatives to the service lines, hospital and medical staff...

Job Summary :  Responsible for the coordination of data and clinical documentation compliance to improve clinical documentation integrity. Collaborates directly with Physicians, Advanced Practice providers and HIM Coders where documentation improvement opportunities exist. Reviews clinical documentation in the medical record, through concurrent, prospective and retrospective evaluation, and queries the medical staff and other care givers as necessary to obtain accurate and complete documentation which appropriately supports the severity of patient illness, resource consumption and risk of mortality and readmissions. Ensures the accuracy and integrity of clinical documentation used for measuring and reporting physician and medical center outcomes. Educates all members of the patient care team on an ongoing basis as needed. Participates in ongoing committees as needed.  

Coding Quality Education Analyst (Inpatient) Are you looking for a rewarding career with an award-winning company? We’re looking for a qualified  Coding Quality Education Analyst   like you to join our Texas Health family.   Work location: Remote, however, some onsite training may be required Work hours: Monday through Friday, generally 8:00 am to 4:30 pm but some flexibility on hours   HIMS Coding Department Highlights: ·        100% remote work ·        Flexible hours/scheduling ·        Terrific work/life balance Here’s What you Need Education Associate's Degree Health Information Services, Nursing, or related field REQUIRED or H.S. Diploma or Equivalent 2 Years Coding experience in lieu of degree REQUIRED Experience 3 Years Coding in an acute care setting REQUIRED and 1 Year Performing coding and documentation audits preferred Licenses and Certifications...

Coder II (Inpatient) Are you looking for a rewarding career with a top-notch healthcare company?   We are looking for qualified Coders like you to join our Texas Health Family **$5000 Sign on Bonus   Work location: Remote Work hours: Flexible hours   HIMS Coding Department Highlights: ·         100% remote work ·         Flexible hours/scheduling ·         Terrific work/life balance

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

DESCRIPTION OF POSITION: The Clinical Documentation Improvement (CDI) Manager also has experience as a Second Level Reviewer , certified in CDI with a broad clinical knowledge base and understanding of DRG documentation requirements. Manage daily CDI operations and activities. Lead, coach and evaluate CDI specialist to ensure high performance and professional development. Conduct concurrent secondary and retrospective medical record review for defined patient populations to identify opportunities to improve accuracy of documentation; collaborating with Quality team, Case Managers and Coding department to assure documentation is clinically appropriate, accurately reflects the severity of illness for the patient, and is reflective of current CMS standards. SUPERVISION : Reports directly to the Director of CDI RESPONSIBILITIES AND DUTIES: Oversee daily Clinical Documentation Integrity (CDI) operations and staff activities. Lead, coach, mentor, and...

Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center.  Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations.  You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application.  You can only apply one time to a job requisition.  Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted. After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

ABOUT CAMPBELL COUNTY HEALTH Campbell County Health (CCH) is more than just a hospital—we are a comprehensive healthcare system serving northeast Wyoming. Our organization includes Campbell County Memorial Hospital, a 90-bed acute care community hospital in Gillette; Campbell County Medical Group, featuring nearly 20 specialty and primary care clinics—including locations in Wright and Hulett; and The Legacy Living & Rehabilitation Center, a long-term care facility.  To be responsive to our employee’s needs we offer: Generous PTO accrual (increases with tenure) Paid sick leave days Medical/Dental/Vision Health Savings Account, Flexible Spending Account, Dependent Care Savings Account 403(b) with employer match Early Childhood Center , discounted on-site childcare And more! Click here to learn more about our full benefits package JOB SUMMARY The Manager of Health Information Management (HIM) is responsible for the corporate strategic...

Clinical Educator - Perinatal - Full time  Bring your passion to Texas Health so we are Better + Together   Work location: This position is onsite - Office at Texas Health Plano Work hours: Full time from Monday – Friday from 8am – 5p   Department highlights: • Strong Team Atmosphere  • Opportunity to advance nursing professional practice across the healthcare system  • Collaborative environment 

Medical Education Operation Specialist    Are you looking for a rewarding career with top-notch benefits? We are looking for a qualified Manager   like you to join our Texas Health family. Position Highlights Work location:  Texas Health Resources    Core Work hours: Monday – Friday; 8:00a-5:00p; Remote Opportunity with some on site required    Position Summary The Medical Education Operation Specialist provides system-level oversight of financial, operational, and administrative activities supporting Medical Education (ME) to include the Department of Continuing Education, Department of Graduate Medical Education, THR Medical Library, and THR Audio/Visual Services, and other departments as may be assigned to the THR Chief Academic Officer. This role ensures accurate and timely management of resident and faculty reimbursements, teaching payments, contracts, affiliation agreements, invoicing, cost reporting, and analytics across multiple...

The Application / Informatics Specialist provides clinical and technical expertise in the hospital’s Electronic Health Record / Health Information System and related clinical applications, including Cerner (Oracle Health), and other systems as applicable. Responsibilities include planning, coordinating, testing, implementing, optimizing, and supporting new and existing clinical information system applications. The position also contributes to system functionality, workflow documentation, best practices, training materials, education, and ongoing support for trainers and clinical staff. Previous experience in clinical or ambulatory care environment preferred.  Additional Information Position Type : Full Time Shift: Day Contact Information Human Resources Email: humanresources@stlukehealthcare.org Phone: 406-528-5289

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...