Top 120 Clinical documentation spec Jobs

Clinical Documentation Spec 1 / HIM Clinical Document Mgmt
Hartford HealthCare Corp. —Farmington, CT
- Per diem
- Nursing
- RN License
- Mid-level
Quick Apply
Ambulatory Clin Doc Integrity Spec - Must have Pro Fee Coding, diagnosis and CPT coding w/ multiple specialties
Carle Health —Champaign, IL
- $26.03 - $43.47 an hour
- PRN
- Remote
- Anatomy knowledge
- Mid-level
- US work authorization
- Health insurance
1d
Clinical Document Spec
University of Rochester —Rochester, NY
- $81,307 - $109,761 a year
- Full-time
- Remote
- Nursing
- Medicine
- Surgery
RN Clinical Documentation Integrity Spec, CDI & ICU exp wanted
Erlanger Health System —Chattanooga, TN
- Full-time
- Nursing
- Microsoft Excel
- RN License
Clinical Documentation Spec-RN
Advocate Aurora Health —Barrington, IL
- $38.20 - $57.30 an hour
- Full-time
- Hybrid work
- Nursing
- RN License
- Hospital
1d
PATIENT REGISTRATION SPEC
Covenant Health —Tazewell, TN
- Full-time
- Hospital
- Customer service
- Mid-level
Prior Authorizations Spec 1 / PAS Fin Clearance Institutes
Hartford HealthCare Corp. —Farmington, CT
- Part-time
- Computer literacy
- Mid-level
- Office
Quick Apply
Billing Support Spec. III
BEHAVIORAL HEALTH SERVICES INC —Gardena, CA
- $28.82 - $32.82 an hour
- Full-time
- HIPAA
- English
- Research
Quick Apply
Clinical Practice Transf. Spec.- Rural Health
Community Health Network of Connecticut, Inc. —Wallingford, CT
- $105,000 - $114,575 a year
- Full-time
- Nursing
- Primary Care
- 3 years
Quick Apply
Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)
Molina Healthcare —Columbus, OH
- $54,922 - $107,099 a year
- Full-time
- Remote
- RN License
- Writing skills
- Analysis skills
- Health insurance
Clin Documentation Spec III PRN
Cooper University Hospital —Camden, NJ
- $41 - $70 an hour
- Per diem
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
2d
Coding Spec-Hospital Services
Gundersen Health System —Wisconsin
- From $22.90 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Under 1 year
- Health insurance
- Tuition reimbursement
Case Management Authorization. Spec IP
Emory Healthcare —Atlanta, GA
- $24.12 - $29.39 an hour
- Part-time
- Mid-level
- High school diploma or GED
- Ability to lift 50 pounds
- Wellness program
- Health insurance
9d
HIM Inpatient Coding Spec II
Penn Medicine —Bala-Cynwyd, PA
- 8 hour shift
- Hybrid work
- Mid-level
- High school diploma or GED
- 1 year
- Tuition reimbursement
Quick Apply
Adult+Minors Independent Clinical Reviewer / Cultural Spec
Ocean View Psychiatric Hospital —Colton, CA
- Medicine
- Psychiatry
- Mid-level
UL Clinical Sales Spec
Canon Medical Systems USA —Florida
- $80,100 - $129,000 a year
- Remote
- 5 years
- Computer literacy
- Public speaking
Financial Spec I, Clinical Trials
University of Rochester —Rochester, NY
- $25.14 - $35.24 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Scientist I - Mass Spec Development (LC-MS/MS)
KCAS Bio —Kansas City, MO
- Email
- Mid-level
- Master's degree
- Analysis skills
- Paid time off
Quick Apply
Advanced Clinical Pharmacist PRN Multi Spec
HCA HealthONE Presbyterian St. Luke's —Denver, CO
- $71.47 - $92.92 an hour
- PRN
- Bachelor of Science
- Pediatrics
- Senior level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Assoc Patient Service Spec PRN, Surgical Specialties Regional Clinics Lebanon/Mount Juliet Clinics
Vanderbilt University Medical Center —Nashville, TN
- Part-time
- Surgery
- High school diploma or GED
- Clinic
- Health insurance

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Clinical Documentation Spec 1 / HIM Clinical Document Mgmt

Hartford HealthCare Corp. -
Farmington, CT

Quick Apply

Job Details

Per diem

Qualifications

RN License
Clinical documentation improvement
DRG

Full Job Description

Location Detail: 9 Farm Springs Rd Farmington (10566)

Shift Detail: per diem

Work where every moment matters.

Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.

The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.
With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.

Position Summary:

The Clinical Documentation Specialist (CDS) 1 is responsible for extensive record review, and interaction with physicians, HIM coding professionals, nursing staff and other patient care givers to ensure the accurate representation of patient severity of illness and quality of care. The CDS is also responsible for active participation in team meetings and development of clinical documentation guidelines and education of staff on these guidelines on an ongoing basis.

CDS 1 may mentor, train or lead other CDS during their orientation period and assist them with Clinical Documentation Integrity (CDI) policies, procedures, standard work, and systems on an ongoing basis.

Position Responsibilities:

Key Areas of Responsibility

Documentation Review

Provides extensive and accurate reviews of medical records within specified timelines.
Recognizes opportunities for documentation improvement to support severity of illness and quality of care and then formulates clinically credible documentation clarifications/queries.
Follows up on all cases especially those with clinical documentation clarifications/queries. Provides education to providers on responding to queries in the medical record and other CDI topics.
Meets program quality and productivity guidelines and standards.
Participates in Coding/CDI meetings and CDI H3W work group.
Inputs review workflows and accurate data and CDI query impact into Optum and EPIC.
Collaborates with inpatient coders to determine appropriate Diagnosis Related Groups (MS-DRG, APR-DRGs, etc.) and ICD-10 code assignment for compliance, reimbursement, and quality outcomes.
Works with Coding and Quality Management teams to appropriately identify and develop compliant queries regarding Hospital Acquired Conditions (HAC) and Patient Safety Indicators (PSI).
Meets revenue cycle goals, Key Performance Indicators (KPIs) , quality and productivity standards).

Training & Special Projects

An experienced CDS 1 may assist in training and mentoring new CDS’ to become acclimated to new environment, and understanding internal policies, procedures, standard work, and workflows.

Communication

Seeks clarification from physicians, nursing, and other staff in cases where documentation is absent, ambiguous, or contradictory.
Collaborates with HIM coding staff to resolve discrepancies.

Other

Abides by The Ethical Standards for Clinical Documentation Improvement (CDI) Professionals as set forth by the American Health Information Management Association.
Participates in other assignments and special projects as assigned.

Working Relationships:

This Job Reports To: HHC Clinical Documentation Manager or Supervisor

Qualifications

Education

Associates Degree or equivalent experience.

Experience

Minimum: Registered nurse (RN) with minimum of 5 years recent clinical experience in acute care hospital, Intensive Care Unit (ICU), Cardiac Care Unit (CCU), strong Med/Surg. or equivalent
Preferred:
Registered Nurse (RN) with 8+ year’s clinical experience in acute care hospital, Intensive Care Unit (ICU), Cardiac Care Unit (CCU), strong Med/Surg. or equivalent
2 + years’ experience as a CDS

Licensure, Certification, Registration

Minimum: RN licensed in the state of CT
Preferred:

o Certified Clinical Documentation Specialist (CCDS) certification

o Certified Clinical Documentation Professional (CDIP) certification

Language Skills

Strong written and verbal communication skills

Knowledge, Skills and Ability Requirements:

Ability to learn/develop the skills necessary to perform Clinical Documentation review of medical records.
Knowledge of Pathophysiology and Disease Process.
Working knowledge of clinical information.
Ability to understand and communicate the impact of CC/MCC’s and other variables on the assignment of the various DRG methodologies.
Must be able to function independently.
Solid analytical capabilities.
Strong organizational skills.
Strong critical thinking, problem solving and deductive reasoning skills.
Ability to handle multiple priorities and increasing responsibility
Strong ability to listen to and acknowledge ideas and expressions of others attentively.
Strong ability to converse clearly using appropriate verbal and written communications as well as conveying positive body language.
Ability to collaborate with others to achieve a common goal through mutual cooperation.
Ability to influence others for positive and productive outcomes.

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.

Quick Apply

Refine Your Search

clinical documentation spec jobs

Clinical Documentation Spec 1 / HIM Clinical Document Mgmt

Ambulatory Clin Doc Integrity Spec - Must have Pro Fee Coding, diagnosis and CPT coding w/ multiple specialties

Clinical Document Spec

RN Clinical Documentation Integrity Spec, CDI & ICU exp wanted

Clinical Documentation Spec-RN

PATIENT REGISTRATION SPEC

Prior Authorizations Spec 1 / PAS Fin Clearance Institutes

Billing Support Spec. III

Clinical Practice Transf. Spec.- Rural Health

Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)

Clin Documentation Spec III PRN

Coding Spec-Hospital Services

Case Management Authorization. Spec IP

HIM Inpatient Coding Spec II

Adult+Minors Independent Clinical Reviewer / Cultural Spec

UL Clinical Sales Spec

Financial Spec I, Clinical Trials

Scientist I - Mass Spec Development (LC-MS/MS)

Advanced Clinical Pharmacist PRN Multi Spec

Assoc Patient Service Spec PRN, Surgical Specialties Regional Clinics Lebanon/Mount Juliet Clinics

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