Top 104 Clinical documentation improvement Jobs in Durham, Nc

Admission RN (Thursday-Saturday), Full-time (Sign-on Bonus Available)
TRANSITIONS LIFECARE —Raleigh, NC
- 12 hour shift
- CPR Certification
- Nursing
- Microsoft Outlook
- Travel reimbursement
- Continuing education credits
Quick Apply
Registered Nurse (RN) – Outpatient Clinic
Quality Staffing Specialists —Raleigh, NC
- $38 - $45 an hour
- Full-time
- RN License
- BLS Certification
- Clinic experience
- Health insurance
Quick Apply
Prepost- Cardiac Procedure One Night Shift a week required
Duke Health —Durham, NC
- Full-time
- Nursing
- RN License
- Computer literacy
- Relocation assistance
6d
Registered Nurse RN Med Surg - Auto Offer
NETPACE Health —Chapel Hill, NC
- $2,000 - $2,081 a week
- Temporary
- Nursing
- RN License
- Hospital
Quick Apply
13h
MDS Coordinator
Ascent Healthcare Management —North Carolina
- $32 - $41 an hour
- Full-time
- Skilled nursing facility
- RN License
- Ability to walk for extended periods
Quick Apply
Registered Nurse (RN) Hospice Home Care-PRN On Call/Evenings
Duke Health —Durham, NC
- PRN
- CPR Certification
- Nursing
- RN License
- Relocation assistance
10d
Clinical Documentation Specialist position
EAPPS TECH LLC dba Magicforce —Raleigh, NC
- $40 - $60 an hour
- RN License
- Mid-level
- 1 year
Quick Apply
Senior Consultant - Clinical Documentation Specialist
Deloitte —Raleigh, NC
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Facility Revenue Manager, Ambulatory Surgery Centers - Remote, M-F
Duke Health —Durham, NC
- Full-time
- Remote
- Surgery
- Writing skills
- System design
- Employee assistance program
Clinical Informaticist (RN, RPh, CPhT, MT)
Pluto Health —Durham, NC
- $110,000 - $140,000 a year
- Full-time
- Computer science
- Nursing
- LVN
- Paid holidays
- Health insurance
Clinical Quality Assurance Specialist - Bone Marrow Transplant Program
UNC Health —Chapel Hill, NC
- $35.87 - $51.57 an hour
- Full-time
- Hybrid work
- Nursing
- RN License
- Mid-level
MEDICAL CODER SPECIALIST
Duke Health —Durham, NC
- Full-time
- Remote
- Anatomy knowledge
- Management
- Surgery
Clinical Applications Manager
North Carolina Community Health Center Association —Raleigh, NC
- $82,000 - $92,000 a year
- Full-time
- Nursing
- 5 years
- HIPAA
Quick Apply
Epic Denials Management Operator
Deloitte —Raleigh, NC
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
12d
RCS Medical Coding Auditor (CPC, CPMA)
Veradigm —Raleigh, NC
- $57,728 - $80,243 a year
- Full-time
- Remote
- HIPAA
- Mid-level
- Analysis skills
- Health insurance
- Dental insurance
Sr. Clinical Solutions Specialist
Baxter —Raleigh, NC
- $88,000 - $121,000 a year
- Nursing
- Microsoft Excel
- 3 years
- Paid parental leave
- Employee stock purchase plan
1d
Operations & Billing Coordinator
New Leaf Behavioral Health —Raleigh, NC
- Full-time
- Spanish
- Microsoft Excel
- Writing skills
Quick Apply
6d
Epic Denials Management Coordinator
Deloitte —Raleigh, NC
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
12d
Practice Liaison, Revenue Cycle Management
US Foot & Ankle Specialists —Cary, NC
- Mid-level
- 3 years
- Ability to lift 50 pounds
- Paid holidays
- Disability insurance
Quick Apply
Clinical Services Nurse - Spine Clinic 1B/1C
Duke Health —Durham, NC
- Full-time
- Nursing
- RN License
- Computer literacy
- Relocation assistance
4d

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Explore jobs in more locations

clinical documentation improvement jobs near durham, nc

Admission RN (Thursday-Saturday), Full-time (Sign-on Bonus Available)

TRANSITIONS LIFECARE -
Raleigh, NC

Quick Apply

Job Details

Full-time

Benefits

Travel reimbursement
Continuing education credits
Mileage reimbursement
Health savings account
Health insurance
Dental insurance
Paid time off
Employee assistance program
Vision insurance
403(b)
Credit union membership
Life insurance

Qualifications

CPR Certification
Medicare
RN License
Initial assessment (medical evaluation)
BLS Certification
CMS
CMS regulatory compliance
Health insurance knowledge
Medicare regulations
Data interpretation
Healthcare reimbursement methods
Medical terminology

Full Job Description

Job Summary

This is a full-time professional position. This position is responsible for completing the admission, initial assessment and associated documentation for new Hospice patients. These duties will be performed in a manner that is consistent with the agency’s mission statement, core values and regulatory requirements. The schedule for this position is 3-12 hour shifts per week 11:00am-11:00pm; rotating weekdays; every other weekend; one major and one minor or three minor holidays per year

Responsibilities what you do

Utilizing expert level clinical decision making, assess and develop patient plan of care for all elective, urgent and emergent admissions.
Coordinate with patient, patient’s family members, physicians, Hospice supervisors and/or clinical staff when requirements of admission are not met/authorized, requiring facilitation of alternative care arrangements, physician/administrative override, or delay in service.
Collect accurate and viable patient insurance information, and escalate all self-pay patients through the appropriate financial screening process
Plan, provide, supervise and document safe, competent, and compassionate hospice nursing care for patients in accordance with physician orders, TL established policies and procedures, and related regulatory guidelines.

Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings
Provide and document appropriate end of life information and education to patients and their families relevant to the care of each patient served.
Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities.
Responsible for professionally managing time, people and technology.
Monitors and manages the appropriate use of patients’ medical equipment, supplies and medications.
Collaborates with other Interdisciplinary Group (IDG) members to determine the patient’s level of care and coordinate the appropriate utilization of contract services.
Actively participates in the orientation and training of new employees of all disciplines.
Works collaboratively with IDG and other Transitions LifeCare (TL) departments in achieving patient care goals.
Obtain and maintain current knowledge of best practices related to end of life care.
Performs other duties as assigned by supervisor.

Expectations how you do it

TL Core Values are exemplified in all interactions with internal and external customers.
Adheres to TL policies, procedures and guidelines.
Adheres to CMS and state guidelines and nursing standards of practice.
Adheres to NHPCO Ethical Practices and the American Nurses Association’s Code of Ethics.

Requirements what you need

Registered Nurse with current NC license; BSN preferred
Minimum 2 years recent clinical experience. Hospice and/or home health or nursing home experience or equivalent preferred.

Requires expert level analysis of patient clinical information and formulation of an accurate assessment of the patient and his/her condition.
Expert in medical terminology and clinical data interpretation.

Hospice Nurse Certification (CHPN) preferred.
Knowledgeable about reimbursement sources, Medicare regulations, licensing laws, and accreditation standards.
Strong computer skills required; experience with Netsmart, Outlook, and Office 365 preferred.
Must have reliable transportation.
Current CPR certification.

Must be able to travel to, enter and function in the homes/facility of any patient/family in the service area to assess and provide care to all patients.
May be required to lift and/or carry items up to 50 pounds.
Must have sensory abilities to complete physical assessment, communicate with patient/family care providers and physician and to complete the reporting and follow-up documentation responsibilities of the job.
Workdays and scheduled hours with weekend and holiday commitments as outlined in Employee Information Agreement.

Why Work With Us

We offer a benefits package designed to support your well‑being, your career, and your life outside of work. Full-time (80 hour/week) team members enjoy six weeks of PTO with the ability to carry over up to 80 hours, plus a workplace culture that values balance- complete with Casual Fridays and the option to bring your pet to work on Fridays.

Our comprehensive benefits include medical, dental, and vision coverage, flexible spending and health savings accounts, and 100% employer‑paid life insurance, short‑term disability, and long‑term disability. We also provide a 403(b) retirement plan with a 4% employer contribution, regardless of employee contribution.

Clinicians receive mileage reimbursement to support travel in the field, ensuring they’re compensated for the essential work they do in the community.

You’ll have access to career development opportunities, including education credits toward licensure and CHPN/CHPNA certifications, along with service recognition programs, credit union membership, AT&T cell phone plan discounts, and a supportive Employee Assistance Program (EAP).

Above all, we are committed to fostering a welcoming work environment where every team member can thrive.

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.

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Refine Your Search

clinical documentation improvement jobs in durham, nc

Admission RN (Thursday-Saturday), Full-time (Sign-on Bonus Available)

Registered Nurse (RN) – Outpatient Clinic

Prepost- Cardiac Procedure One Night Shift a week required

Registered Nurse RN Med Surg - Auto Offer

MDS Coordinator

Registered Nurse (RN) Hospice Home Care-PRN On Call/Evenings

Clinical Documentation Specialist position

Senior Consultant - Clinical Documentation Specialist

Facility Revenue Manager, Ambulatory Surgery Centers - Remote, M-F

Clinical Informaticist (RN, RPh, CPhT, MT)

Clinical Quality Assurance Specialist - Bone Marrow Transplant Program

MEDICAL CODER SPECIALIST

Clinical Applications Manager

Epic Denials Management Operator

RCS Medical Coding Auditor (CPC, CPMA)

Sr. Clinical Solutions Specialist

Operations & Billing Coordinator

Epic Denials Management Coordinator

Practice Liaison, Revenue Cycle Management

Clinical Services Nurse - Spine Clinic 1B/1C

I want to receive the latest job alert for clinical documentation improvement in durham, nc

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