315 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.  

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...

Job Summary :  Medical Assistant (MA) II to work within the credentialed scope of practice . Prepares patient and equipment for exams/procedures. Maintains exam rooms and clinical area. Returns phone messages to patients, pharmacies, etc. Collects and prepares lab specimens/lab requisitions accurately. Schedules and obtains authorizations for referrals and/or procedures. Maintains patient confidentiality.  Supports and functions under the direction of the care team with various office and clinical duties to keep the healthcare practice running efficiently. This includes tasks such as patient intake at office visit, exceptional patient care, documentation, vaccine and medication administration, clerical, environmental, and organizational tasks. Provides front office support duties including, but not limited to:  greeting and welcoming patients, providing excellent customer service both in-person and over the phone, collecting co-payments, scheduling...

Department: 09350 GCMG Infusion Operations: Administration - Pharmacy: Administration Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Monday through Friday 8 - 4:30 PM The Patient Assistance Pharmacy Technician Specialist I...

Department: 04100 AMG Specialist Group: ED ASLMC - Emergency Medicine Status: Part time Benefits Eligible: No Hou rs Per Week: 0 Schedule Details/Additional Information: hours and shifts vary Pay Range: $59.00 - $88.50 MAJOR RESPONSIBILITIES Clinical...

Department: 04100 AMG Specialist Group: ED ASMC - Emergency Medicine Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: 10-12 hour shifts schedule varies 6-7 shifts per pay period (2 weeks) Includes weekend and holidays...

Department: 35160 Wake Forest Baptist Medical Center - BCH Pediatrics: Critical Care Transport Status: Full time Benefits Eligible: Yes Hou rs Per Week: 36 Schedule Details/Additional Information: 7p-7a Pay Range: $33.05 - $49.60 This position is Sign-on Bonus...