Top 168 Clinical specialist Jobs in Maryland

HIM Clinical Document Specialist, Hybrid, Capital Region
University of Maryland Medical System —Largo, MD
- Full-time
- Medicine
- RN License
- Senior level
8d
Clinical Oncology Specialist, Breast Oncology
Natera —Baltimore, MD
- $195,000 - $225,000 a year
- Remote
- Clean driving record
- 5 years
- Driver's License
- Travel reimbursement
- Commuter assistance
Clinical Specialist, CRM - Baltimore, MD
Abbott Laboratories —Baltimore, MD
- $61,300 - $122,700 a year
- Full-time
- Word processing
- Mid-level
- Experience equivalent to degree accepted
- Health insurance
- Tuition reimbursement
HIM Clinical Document Specialist, Hybrid
University of Maryland Medical System —Bel Air, MD
- $38.67 - $58.05 an hour
- Full-time
- Nursing
- Senior level
- Associate's degree
HIM Clinical Document Specialist, Hybrid, DTC
University of Maryland Medical System —Baltimore, MD
- $38.67 - $58.05 an hour
- Full-time
- Nursing
- Inpatient
- Senior level
Clinical Sleep Specialist - Baltimore, MD
Zoll Medical Corporation —Baltimore, MD
- $105,000 - $120,000 a year
- Remote
- Nursing
- Up to 50% travel
- Hospital
HIM Clinical Document Specialist, UMMC
University of Maryland Medical System —Baltimore, MD
- Full-time
- Medicine
- RN License
- Inpatient
Field Clinical Specialist, DC/MD/VA, TMTT
Edwards Lifesciences —Baltimore, MD
- $124,000 - $149,000 a year
- Full-time
- Hospital
- Customer service
- 5 years
Clinical Diabetes Specialist - Baltimore
Sequel Med Tech —Baltimore, MD
- $141,000 - $161,000 a year
- Extended hours
- Remote
- RN License
- Driver's License
- Driving
- Health savings account
- Paid holidays
Clinical Specialist, Neuro - Maryland
BIOTRONIK SE & Co. KG —Lake, MD
- Online Application
- Clinic experience
- Mid-level
- Driver's License
Clinical Specialist | Urology - Sacral Neuromodulation | D.C. [North] / Baltimore, MD
Boston Scientific —Baltimore, MD
- $90,000 - $95,000 a year
- Weekends as needed
- Up to 50% travel
- Inventory management
- Pass drug screening
6d
Clinical Performance Specialist - Radiology - Baltimore, MD
Bayer —Baltimore, MD
- $75,831 - $113,747 a year
- Mid-level
- Residential
- Master's degree
- Health insurance
- Dental insurance
Clinical Data Specialist IV
Johns Hopkins Health System —Baltimore, MD
- Full-time
- Anatomy knowledge
- HIPAA
- Research
- Flexible schedule
5d
Senior Consultant - Clinical Documentation Specialist
Deloitte —Baltimore, MD
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Clinical Nurse Specialist - Oncology and Gynecology Research
Henry M. Jackson Foundation —Bethesda, MD
- $77,600 - $120,000 a year
- Full-time
- Ob/Gyn
- Senior level
- Health insurance
- Dental insurance
Associate Clinical Oncology Specialist
Natera —Easton, MD
- $11,000 - $130,000 a year
- Nursing
- Mid-level
- Analysis skills
- Commuter assistance
- Health insurance
Clinical Specialist, Neuro - Maryland
BIOTRONIK —Lake, MD
- Online Application
- Clinic experience
- Mid-level
- Driver's License
Clinical Sales Specialist, Structural Heart, TAVI (Baltimore, MD)
Abbott Laboratories —Baltimore, MD
- $68,000 - $136,000 a year
- Full-time
- 6 years
- Up to 50% travel
- RN License
- Health insurance
- Tuition reimbursement
Patient Engagement Specialist, Research and Clinical Trials
Scene Health —Maryland
- $25 an hour
- Full-time
- Remote
- Spanish
- English
- Mid-level
5d
Clinical Systems Implementation Specialist (Contingent)
Westat —Bethesda, MD
- $130,000 - $150,000 a year
- Contract
- Hybrid work
- Background check
- 7 years
- Office
- Paid parental leave
- Health savings account

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HIM Clinical Document Specialist, Hybrid, Capital Region

University of Maryland Medical System -
Largo, MD

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Job Details

Full-time
8 days ago

Qualifications

Inpatient experience
Associate's degree

Full Job Description

Job Requirements

Overview

Under the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program, the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding and reporting of high-quality healthcare data. The CDS is guided by the Association of Clinical Documentation Integrity Specialists (ACDIS) “Code of Ethics” and the American Health Information Management Association’s (AHIMA) “Ethical Standards for Clinical Documentation Integrity Professionals” and the Official Guidelines for Coding and Reporting as approved by the Cooperating Parties.

Key Responsibilities

Key Responsibility 1: Performs concurrent initial chart reviews within 24-48 hours after admission with follow-up reviews occurring every 1-3 days, and retrospective chart reviews, when applicable, to accurately assign/capture the APR-DRG, severity of illness (SOI) and risk of mortality (ROM) in order to reflect quality indicators, resource consumption and outcome measures to ensure accurate and complete documentation for final coding and billing. Analyzes clinical status of patient, current treatment plan and past medical history and identifies potential gaps in provider documentation.

Key Responsibility 2: Communicates with providers either verbally or through written methodology to validate observations. Develops provider queries, in compliance with organizational and AHIMA standards when documentation in the medical record pertaining to a significant reportable condition or procedure or other reportable data element is conflicting, incomplete or ambiguous. Utilizes a comprehensive and strong clinical skill set, background and experience in acute care, exceptional critical thinking skills and the ability to prioritize and analyze data quickly and accurately in order to decipher complex clinical cases. Adds detail and/or acuity to ambiguous or implied diagnoses. Will verify if a diagnosis was Present on Admission (POA) and establish the clinical significance and suspected etiology of a finding. Works concurrently to ensure documentation of discharge diagnosis (es) and any co-existing comorbidities are a complete reflection of the patient’s clinical status and care. Evaluates medical record documentation using knowledge about HIM Standards of Coding. Monitors work progress and data to strengthen areas of focus. Consistently meets established productivity metrics for record review.

Key Responsibility 3: Identifies opportunities for education based upon query topics or other identified need for accurate, complete and consistent documentation in the medical record. Collaborates with providers, leadership and teams to assist with the development and implementation of specific tools and educational materials to support medical record documentation. Participates in both formal and informal education sessions including presentations, in-services, face-to-face interactions, newsletters, posters, etc. to the medical staff or clinical departments. Attends service line clinical program meetings and CDI meetings as requested. Identifies strategies for sustained work processes that facilitate complete, accurate clinical documentation. Manages initiatives to support accurate case-mix and quality documentation.

Key Responsibility 4: Acts as a clinical liaison between HIM/coding staff and providers. Partners with coding professionals to perform reconciliation, per policy, to ensure accuracy of diagnostic and procedural data in order to validate the CDS Final APR-DRG/ SOI/ROM against the Final Coded APR- DRG/SOI/ROM.

Key Responsibility 5: Seeks continuing education opportunities in order to stay current on CDI matters and/ or to maintain credentials.

Work Experience

Education

Associate’s Degree

Licensure

Registered Nurse (RN), Physician (MD), Physician Assistant (PA), Certified Registered Nurse Practitioner (CRNP)

Experience

Minimum of 2 years of experience reviewing Inpatient medical records as a Clinical Documentation Integrity Specialist, Coder/DRG Analyst with a clinical background, Care Manager, Utilization Review Specialist, or Quality Review Specialist

Minimum of 3 years chart abstraction/chart review experience

Certifications

Must obtain certification as a Certified Clinical Documentation Specialist (CCDS) via ACDIS or a Certified Documentation Integrity Practitioner (CDIP) via AHIMA within 2 years of hire or eligibility.

Employees hired into this role prior to 1/1/2023 who do not meet the licensure requirements will be grandfathered and considered qualified provided they meet the experience and certification requirements.

Preferred

Licensures/Certifications

Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Integrity Practitioner (CDIP) at time of Hire
Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).

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Refine Your Search

clinical specialist jobs in maryland

HIM Clinical Document Specialist, Hybrid, Capital Region

Clinical Oncology Specialist, Breast Oncology

Clinical Specialist, CRM - Baltimore, MD

HIM Clinical Document Specialist, Hybrid

HIM Clinical Document Specialist, Hybrid, DTC

Clinical Sleep Specialist - Baltimore, MD

HIM Clinical Document Specialist, UMMC

Field Clinical Specialist, DC/MD/VA, TMTT

Clinical Diabetes Specialist - Baltimore

Clinical Specialist, Neuro - Maryland

Clinical Specialist | Urology - Sacral Neuromodulation | D.C. [North] / Baltimore, MD

Clinical Performance Specialist - Radiology - Baltimore, MD

Clinical Data Specialist IV

Senior Consultant - Clinical Documentation Specialist

Clinical Nurse Specialist - Oncology and Gynecology Research

Associate Clinical Oncology Specialist

Clinical Specialist, Neuro - Maryland

Clinical Sales Specialist, Structural Heart, TAVI (Baltimore, MD)

Patient Engagement Specialist, Research and Clinical Trials

Clinical Systems Implementation Specialist (Contingent)

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