Top 80 Clinical documentation improvement specialist Jobs in Ohio

Clinical Documentation Improvement Specialist
Grand Lake Health System —Saint Marys, OH
- Remote
- Nursing
- Anatomy knowledge
- Mid-level
Quick Apply
13d
Clinical Documentation Improvement Specialist
METROHEALTH MEDICAL CENTER —Cleveland, OH
- Full-time
- Nursing
- Microsoft Excel
- RN License
Senior Consultant - Clinical Documentation Specialist
Deloitte —Cincinnati, OH
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
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- RN License
HIMS ROI Specialist II - HIMS Release Information
Kettering Health —Miamisburg, OH
- Full-time
- HIPAA
- Mid-level
- Office
Sr. Virtual Utilization Review Specialist
Ensemble RCM LLC —Blue Ash, OH
- $32.65 - $53.00 an hour
- Full-time
- Nursing
- RN License
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2d
Remote Medical Scribe
Oak Street Health —Ohio
- $17.00 - $28.46 an hour
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- Computer literacy
- HIPAA
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- Dental insurance
Risk Adjustment Coding Specialist
Mount Carmel —Columbus, OH
- Full-time
- Surgery
- Mid-level
- High school diploma or GED
- Relocation assistance
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Coding Rep II
Cincinnati Children's Hospital —Cincinnati, OH
- $25.82 - $32.28 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Children
Qualifications Order Processing Specialist
Medical Service Company —Cleveland, OH
- $20.00 - $25.05 an hour
- Full-time
- Hybrid work
- Mid-level
- Office
- Quality control
- Health savings account
- AD&D insurance
Quick Apply
Inpatient Coding Educator (Remote)
University Hospitals —Shaker Heights, OH
- $62,733 - $98,114 a year
- Remote
- Research
- Mid-level
- Mentoring
1d
QI Coordinator - Records Specialist
Harbor, Inc. —Toledo, OH
- Full-time
- Clean driving record
- Data analysis skills
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
Behavioral Health Billing Specialist
Cedar Ridge Behavioral Health Solutions —Cambridge, OH
- Full-time
- Private practice
- Medical office experience
- Research
- Health insurance
- Dental insurance
Quick Apply
Medical Scribe
Oak Street Health —Cleveland, OH
- $17.00 - $28.46 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Medical Scribe
Oak Street Health —Cleveland, OH
- $17.00 - $28.46 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Medical Scribe
Oak Street Health —Cleveland, OH
- $17.00 - $28.46 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Medical Scribe
Oak Street Health —Cleveland, OH
- $17.00 - $28.46 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Certified Cancer Registrar II, Full Time, First Shift, Health Registries
UC Health, LLC —Cincinnati, OH
- Full-time
- Anatomy knowledge
- Research
- Mid-level
Quick Apply
9d
HIM Coding - Clinical Documentation Educator
Southern Ohio Medical Center —Portsmouth, OH
- Full-time
- Hybrid work
- High school diploma or GED
- Experience equivalent to degree accepted
- Acute care experience
CDI Specialist – Float Pool Team
Ensemble RCM LLC —Blue Ash, OH
- $80,000 a year
- Full-time
- Float pool
- RN License
- 5 years
- Tuition reimbursement
5d
Drug Safety Specialist I, II, III
Gifthealth Inc —Columbus, OH
- $23 - $31 an hour
- Full-time
- Hybrid work
- Nursing
- Mid-level
- High school diploma or GED
Quick Apply

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Clinical Documentation Improvement Specialist

Grand Lake Health System -
Saint Marys, OH

Quick Apply

Job Details

13 days ago

Qualifications

Anatomy knowledge
Video conferences (communication methods)
Medical terminology
Stakeholder relationship building

Full Job Description

Responsible for performing concurrent reviews of patient records to ensure complete, accurate, and specific clinical documentation. Should have a comprehensive understanding of ICD and CPT Coding Guidelines and are responsible for clarifying conflicting, incomplete, or imprecise documentation by actively seeking answers and actively educating providers.

Work to continuously improve clinical documentation to best reflect the care provided and corresponding reimbursement. Responsible for improving the overall quality and completeness of clinical documentation. Facilitate modifications to clinical documentation through extensive concurrent interaction with physicians, nursing staff, other patient caregivers, and Coding staff to support that appropriate reimbursement, clinical severity of illness, and risk of mortality is captured for the level of service rendered to all patients. Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and practice outcomes. Educates all members of the patient care team on an ongoing basis.

DUTIES & RESPONSIBILITIES:

1. Core documentation review

Assess documentation for completeness, specificity, and compliance with coding guidelines
Identify missing elements that impact code selection and medical necessity
Apply best practices for querying providers to ensure accurate documentation

2. Inpatient coding and compliance

Link provider documentation to ICD and CPT® code assignment
Review documentation requirements, including medical necessity, provide guidance on documentation improvement opportunities
Ensuring compliance with payer policies, NCCI edits, and federal regulations

3. Risk adjustment and quality reporting

Understand documentation requirements for HCC and risk adjustment coding
Support accurate reporting for quality initiatives and value-based care
Identify documentation gaps that affect population health and reimbursement

4. Communication and provider education

Provide feedback to providers on documentation deficiencies and improvement needs
Educate clinicians on best practices for supporting coding and audit readiness
Enhance collaboration between coding, billing, and clinical staff to reduce denials and compliance risk

Qualifications:

Education:

Must have an Associate’s degree in Healthcare, Nursing or related field, or equivalent combination of education & experience.
Must have training in medical terminology, anatomy, and physiology.
Must have training and certification in coding, or equivalent combination of education and experience.
Three to five years CDI experience preferred.

Licensure:

Must possess a certification; Certified Documentation Expert Inpatient (CDEI), Certified Clinical Documentation Specialist (CCDS), or Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) with coding or clinical documentation integrity experience.
Must agree to obtain CDEI or CCDS within first year of employment.

Experience:

In-depth knowledge of medial record content.
In-depth knowledge of coding/classification systems (ICD & CPT) and associated coding guidelines.
Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, revenue cycle experience.
Basic computer skills.

Skills:

Should be knowledgeable in use of coding software (encoders).
Should be knowledgeable in LDC/NCD (or how to look this up) and Quality Measures.
Should be knowledgeable in coding guidelines.
Requires excellent observation skills, analytical thinking, problem solving, plus excellent verbal/ written and presentation skills.
Must have the ability to balance and juggle multiple tasks, projects, and requests; meet deadlines.
Ability to communicate effectively via remote Teams application.

Physical Effort:

Manual and finger dexterity.
Sitting for extended periods of time.
Ambulate to provider practices or group meetings, as needed.
Requires corrected vision and hearing to normal range.
Requires working under stressful conditions.

Interpersonal Skills:

Excellent interpersonal skills in dealing with co-workers, providers, physicians and their office staff, Practice Mangers, and other Work Areas.
Must have strong initiative, excellent judgment, good problem-solving skills, and excellent interpersonal skills.
Develop and maintain positive working relationships among all levels of the organization to effectively develop and implement key initiatives.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Quick Apply

Refine Your Search

clinical documentation improvement specialist jobs in ohio

Clinical Documentation Improvement Specialist

Clinical Documentation Improvement Specialist

Senior Consultant - Clinical Documentation Specialist

HIMS ROI Specialist II - HIMS Release Information

Sr. Virtual Utilization Review Specialist

Remote Medical Scribe

Risk Adjustment Coding Specialist

Coding Rep II

Qualifications Order Processing Specialist

Inpatient Coding Educator (Remote)

QI Coordinator - Records Specialist

Behavioral Health Billing Specialist

Medical Scribe

Medical Scribe

Medical Scribe

Medical Scribe

Certified Cancer Registrar II, Full Time, First Shift, Health Registries

HIM Coding - Clinical Documentation Educator

CDI Specialist – Float Pool Team

Drug Safety Specialist I, II, III

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