Top 21 Document specialist Jobs in Cleveland, Oh

Clinical Documentation Integrity (CDI) Analyst (Remote)
University Hospitals —Shaker Heights, OH
- $79,331 - $124,051 a year
- Remote
- Nursing
- Medicine
- RN License
Security Officer Enhanced Part Time Hospital Incident Documentation Patrol
Allied Universal —Cleveland, OH
- $16 an hour
- Part-time
- 18 years or older
- CPR Certification
- Hospital
- Paid training
- Opportunities for advancement
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4d
Medical Documentation Specialist
Medical Service Company —Cleveland, OH
- $20.00 - $24.75 an hour
- Full-time
- Hybrid work
- Computer literacy
- Office
- High school diploma or GED
- Health savings account
- AD&D insurance
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Document Specialist
Avalon Document Services —Cleveland, OH
- $16 - $18 an hour
- Temporary
- Entry level
- Paid holidays
- Health insurance
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Global Document Control Supervisor, Valves
Curtiss-Wright —Brecksville, OH
- $77,000 - $95,000 a year
- Full-time
- Google Workspace
- ERP systems
- Mid-level
- Profit sharing
- Employee stock purchase plan
Final Documents Specialist
CrossCountry Mortgage, LLC —Cleveland, OH
- Full-time
- Microsoft Word
- Microsoft Excel
- Mid-level
- Wellness program
- Disability insurance
Product Manager Intelligent Document Processing
Hyland —Westlake, OH
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Product management
Technical Documentation & Special Projects
Arrow International, Inc. —Cleveland, OH
- Pass drug screening
- Mid-level
- Product management
- Profit sharing
- Paid time off
Quick Apply
Security Officer Part Time Patrol Incident Documentation
Allied Universal —Cleveland, OH
- $17 an hour
- Part-time
- 18 years or older
- CPR Certification
- Pass drug screening
- Paid training
- Opportunities for advancement
Quick Apply
Manager Clinical Documentation Integrity- Clinical Doc Improvement
METROHEALTH MEDICAL CENTER —Cleveland, OH
- Full-time
- RN License
- Hospital
- Computer literacy
Commercial Lending Document Preparation Senior Specialist
KeyBank National Association —Brooklyn, OH
- $20.67 - $31.25 an hour
- Full-time
- Hybrid work
- Mid-level
- Office
- 3 years

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Records Researcher
One Source Technology LLC —Cleveland, OH
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2d
Records Clerk
Chugach Government Solutions —Cleveland, OH
Current, valid driver's license and an acceptable driving record. One year certificate from college or technical school; or six months experience in related…

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Clinical Documentation Integrity (CDI) Analyst (Remote)

University Hospitals -
Shaker Heights, OH

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Job Details

$79,331 - $124,051 a year

Qualifications

Inpatient experience
Physiology knowledge
Pathology
Data interpretation
Health information management
Clinical documentation standards
Healthcare coding investigations
Hospital experience
Medical record review for billing accuracy

Full Job Description

$5,000 Sign on Bonus

A Brief Overview

Applies clinical expertise and knowledge of health care workflows in order to educate and train CDI Specialists in the essential duties of their role to improve the overall accuracy and comprehensiveness of medical record documentation, with focus on ensuring accurate reporting of quality outcomes Educates CDI Specialists on the rules/regulations associated with coding and clinical documentation integrity. Trains newly hired CDI Specialists and provides ongoing coaching and education specific to daily CDI Specialist job functions. Ensures the work output of the Clinical Documentation Integrity staff is accurate and compliant. Collaborates with CDI leadership and Coding team to identify training opportunities and assist with education of CDI and Coding staff with regard to clinical documentation integrity and/or clinical and coding scenarios as needed.

What You Will Do

Performs post-discharge, final coded, pre-bill reviews of targeted records identified for second-level review for opportunity to accurately capture patient acuity, severity of illness, risk of mortality, and DRG assignment in compliance with industry rules and regulations
- Documents SLR findings within CDI application.
- If a documentation opportunity is identified, place physician query and follow up for response to ensure completeness and accuracy of the medical record.
- If coding opportunity is identified, coordinate with coder and/or Coding Leadership to review and address opportunity as applicable
Serves as a role model and resource for CDI team members
- Subject matter expert that exhibits excellent skills in essential components of the CDI Specialist role
- Responds to CDS requests for concurrent chart reviews on challenging cases with recommendations and supporting rationale
- Performs concurrent second level reviews based on defined criteria and shares feedback with CDI Specialist assigned to the encounter for action on opportunities identified.
Maintains a summary of opportunities identified through second level review for feedback and education with the CDI team
- Coordinates with other Second Level Reviewers, CDI Leads, and CDI Educator to compile trends and areas of opportunity and conduct education both 1:1 and group education with the CDI team based on the findings
Periodically review the criteria established for cases triggering a second level review and recommend updates or modifications to the criteria to assist in identifying areas of opportunity
Is actively engaged in quality and process improvement efforts
- Performs targeted audits as assigned in support of department initiatives
- Participates in quality initiatives such as HAC/PSI and US News/Mortality
- Collaborates with CDI Leadership, Leads and Educators to optimize query templates
- Identifies and shares feedback regarding workflow improvement opportunities identified when completing the SLR process
- Facilitates change and supports the CDI team through change management processes
- Actively engages in advancing the CDI practice throughout the UH enterprise
- Actively engages in department and/or enterprise-wide committee

Additional Responsibilities

Performs other duties as assigned.
Complies with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Education

Other Accredited Program: Diploma in Nursing or in Health Information Management (Required) or
Associate's Degree preferably in Health Information Management or Nursing (Required) or
Bachelor's Degree preferably in Health Information Management or Nursing (Required) or
Doctorate Degree in Medicine (Required)

Work Experience

3+ years CDI experience as a concurrent reviewer (Required)

Knowledge, Skills, & Abilities

Extensive clinical knowledge and understanding of pathology/physiology; best demonstrated by clinical experience in hospital setting (Required proficiency)
Strong critical thinking skills and the ability to review the medical record to identify information not yet documented but supported by clinical indicators or clinical clues (Required proficiency)
Demonstrates comprehension of Case Mix Index (CMI) and can interpret, analyze, evaluate data, provide rationale for trends/impacting factors and develop strategy for correcting/optimizing CMI (Required proficiency)
Knowledge of age-specific patient needs and the elements of disease processes and related procedures (Required proficiency)
Excellent written and verbal communication skills; ability to write concisely and effectively when communicating with providers (Required proficiency)
Assertive personality traits to facilitate ongoing physician communication (Required proficiency)
Working knowledge of inpatient admission criteria. (Required proficiency)
Ability to work independently in a time-oriented environment as well as working as part of a team, primarily in a virtual setting. (Required proficiency)
Applies knowledge and expertise to daily job responsibilities. Maintains professional knowledge by reading and/or attending webinars that pertain to Clinical Documentation Improvement. (Required proficiency)
Earns and maintains Certification for Clinical Documentation Improvement. (Required proficiency)
Incorporates current literature, research and best practice ( ACDIS and AHIMA ) into daily practice. (Required proficiency)
Up to-date clinical and coding experience, and current working knowledge of pathology, pharmacology, surgical procedures, etc. (Required proficiency)
Detail-oriented and organized, have excellent time-management skills, and have good analytical and problem-solving ability. (Required proficiency)
Notable client service, communication, presentation and relationship building skills. (Required proficiency)

Licenses and Certifications

Registered Nurse (RN), Ohio and/or Multi State Compact License (Required Upon Hire) or
Registered Health Information Administration (RHIA) (Required Upon Hire) or
Registered Health Information Technologist (RHIT) (Required Upon Hire) and
Certified Clinical Documentation Specialist (CCDS) (Required Upon Hire) or
Clinical Documentation Improvement Practitioner (CDIP) (Required Upon Hire)
International medical doctor education and experience can meet qualifications in lieu of RN, RHIA or RHIT

Physical Demands

Standing Occasionally
Walking Occasionally
Sitting Constantly
Lifting Rarely up to 20 lbs
Carrying Rarely up to 20 lbs
Pushing Rarely up to 20 lbs
Pulling Rarely up to 20 lbs
Climbing Rarely up to 20 lbs
Balancing Rarely
Stooping Rarely
Kneeling Rarely
Crouching Rarely
Crawling Rarely
Reaching Rarely
Handling Occasionally
Grasping Occasionally
Feeling Rarely
Talking Constantly
Hearing Constantly
Repetitive Motions Frequently
Eye/Hand/Foot Coordination Frequently

Travel Requirements

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Refine Your Search

document specialist jobs in cleveland, oh

Clinical Documentation Integrity (CDI) Analyst (Remote)

Security Officer Enhanced Part Time Hospital Incident Documentation Patrol

Medical Documentation Specialist

Document Specialist

Global Document Control Supervisor, Valves

Final Documents Specialist

Product Manager Intelligent Document Processing

Technical Documentation & Special Projects

Security Officer Part Time Patrol Incident Documentation

Manager Clinical Documentation Integrity- Clinical Doc Improvement

Commercial Lending Document Preparation Senior Specialist

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