Top 25 Clinical documentation improvement specialist Jobs in Connecticut

Clinical Documentation Spec 1 / HIM Clinical Document Mgmt
Hartford HealthCare Corp. —Farmington, CT
- Per diem
- Nursing
- RN License
- Mid-level
Quick Apply
Senior Consultant - Clinical Documentation Specialist
Deloitte —Stamford, CT
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Document Improvement Specialist, Fulltime
Stamford Health —Stamford, CT
- Full-time
- Nursing
- RN License
- 5 years
- Free parking
- Health insurance
Quick Apply
Senior Medical Billing & Coding Specialist
The Talcott Center for Child Development —Farmington, CT
- $90,000 - $110,000 a year
- Full-time
- 3 years
- High school diploma or GED
- Analysis skills
- Health insurance
- Paid time off
Quick Apply
Quality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCare
Hartford HealthCare at Home —Mansfield Center, CT
- Full-time
- Nursing
- RN License
- Writing skills
Quick Apply
Denial RN DRG Appeal Writer2 / HIM Coding
Hartford HealthCare Corp. —Farmington, CT
- Full-time
- Nursing
- 6 years
- RN License
Quick Apply
2d
Denial RN DRG Appeal Writer2 / HIM Coding
Hartford HealthCare Corp. —Farmington, CT
- Full-time
- Nursing
- 6 years
- RN License
Quick Apply
2d
Denial RN DRG Appeal Writer2 / HIM Coding
Hartford HealthCare Corp. —Farmington, CT
- Full-time
- Nursing
- 6 years
- RN License
Quick Apply
2d
Pediatric RN or LPN - Full Time - Connecticut Pediatrics @ CHC - $1,000 Signon Bonus!
Moses / Weitzman Health System —Hartford, CT
- Full-time
- Bilingual
- CPR Certification
- Nursing
- Loan repayment program
- Health insurance
Registered Nurse - Neurology, Hartford
Trinity Health Of New England —Hartford, CT
- Full-time
- Nursing
- RN License
- Mid-level
- Benefits from day one
Quick Apply
Oncology Registered Nurse
Trinity Health Of New England —Hartford, CT
- Full-time
- Nursing
- RN License
- BLS Certification
- Benefits from day one
- Opportunities for advancement
Quick Apply
Supv Clinical Documentation / HIM Clinical Document Mgmt
Hartford HealthCare Corp. —Farmington, CT
- Full-time
- Nursing
- RN License
- Writing skills
Quick Apply
Coder/Abstraction to Outpatient
Hospital for Special Care —New Britain, CT
- Part-time
- Hybrid work
- Anatomy knowledge
- Basic math
- Mid-level
Quick Apply
Pharmacist Specialist - Epic Beacon
University of Connecticut —Farmington, CT
- Full-time
- Hybrid work
- System design
- Mid-level
- Office
7d
Risk Adjust Prgm Team Lead / Clinical Integration
Hartford HealthCare Corp. —Hartford, CT
- Full-time
- Microsoft Word
- 5 years
- Driver's License
Quick Apply
Medical Scribe
Oak Street Health —Waterbury, CT
- $17.00 - $31.30 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Business Office Manager
Waterbury Surgery Center —Waterbury, CT
- $70,000 - $90,000 a year
- Full-time
- Surgery
- HIPAA
- Office
- Health insurance
- 401(k) matching
Quick Apply
Part Time PACU RN
Connecticut Orthopaedic Specialists Pc —Branford, CT
- Part-time
- Nursing
- Management
- RN License
- Free parking
- Paid holidays
Registered Nurse - Neurology, Hartford
Trinity Health Of New England —Hartford, CT
- Full-time
- Nursing
- RN License
- Mid-level
- Benefits from day one
Oncology Registered Nurse
Trinity Health Of New England —Hartford, CT
- Full-time
- Nursing
- RN License
- BLS Certification
- Benefits from day one
- Opportunities for advancement

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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 improvement specialist jobs in connecticut

Clinical Documentation Spec 1 / HIM Clinical Document Mgmt

Senior Consultant - Clinical Documentation Specialist

Document Improvement Specialist, Fulltime

Senior Medical Billing & Coding Specialist

Quality Assurance Performance Improvement Coordinator (RN, Registered Nurse, QA, PI) - HomeCare

Denial RN DRG Appeal Writer2 / HIM Coding

Denial RN DRG Appeal Writer2 / HIM Coding

Denial RN DRG Appeal Writer2 / HIM Coding

Pediatric RN or LPN - Full Time - Connecticut Pediatrics @ CHC - $1,000 Signon Bonus!

Registered Nurse - Neurology, Hartford

Oncology Registered Nurse

Supv Clinical Documentation / HIM Clinical Document Mgmt

Coder/Abstraction to Outpatient

Pharmacist Specialist - Epic Beacon

Risk Adjust Prgm Team Lead / Clinical Integration

Medical Scribe

Business Office Manager

Part Time PACU RN

Registered Nurse - Neurology, Hartford

Oncology Registered Nurse

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