Top 100 Clinical document specialist Jobs in Merrillville, In

CLINICAL DOCUMENT SPECIALIST
Methodist Hospitals —Merrillville, IN
- Hybrid work
- Nursing
- RN License
- Hospital
Medical Laboratory Scientist-MT
Powers Health —Hobart, IN
- Full-time
- Bachelor of Science
- Mid-level
Psychosocial Case Coordinator
Franciscan Health —Dyer, IN
- Full-time
- Addiction Medicine
- HIPAA
- Mid-level
10d
Medical Scribe - Bilingual Spanish Required
Oak Street Health —Blue Island, IL
- $17.00 - $31.30 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Medical Scribe - Bilingual Spanish Required
Oak Street Health —Blue Island, IL
- $17.00 - $31.30 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Medical Assistant - Bilingual Spanish
Oak Street Health —Blue Island, IL
- $18.50 - $38.82 an hour
- Full-time
- CPR Certification
- Vital signs
- BLS Certification
- Health insurance
- Dental insurance
Business Office Specialist
Bristol Hospice, LLC —Merrillville, IN
- $20 - $24 an hour
- Full-time
- Word processing
- Computer literacy
- Office
- Mileage reimbursement
- Health savings account
Quick Apply
5d
Mobile Crisis Specialist -Weekends (Sat/Sun, 3 pm to 11 pm)
The Link and Option Center, Inc. —South Holland, IL
- $31.25 an hour
- Weekends as needed
- Hospital
- Mid-level
- Clinic
Quick Apply
Medical Scribe
Oak Street Health —Hammond, IN
- $17.00 - $28.46 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
3d
Medical Assistant
Franciscan Health —Crown Point, IN
- Full-time
- Vital signs
- 5 years
- BLS Certification
Eligibility Specialist 1
Savista, LLC —Olympia Fields, IL
- $20 - $24 an hour
- Full-time
- Hospital
- HIPAA
- Inpatient
- Health savings account
- Paid holidays
Quick Apply
Adjunct Faculty - Phlebotomy
Ivy Tech Community College —East Chicago, IN
- $47.35 per contact hour
- Part-time
- Classroom
- Blood sampling
- Mid-level
- Health insurance
- Employee assistance program
3d
SLEEP TECHNOLOGIST
Methodist Hospitals —Merrillville, IN
- 12 hour shift
- Hospital
- BLS Certification
- Maintenance
HEARING & SPEECH TECHNICIAN II
State of Illinois —Park Forest, IL
- $4,272 - $5,641 a month
- Full-time
- Bilingual
- Background check
- Experience working with individuals with disabilities
- Paid parental leave
- Paid holidays
7d
Recovery Support Specialist - PT (Sat & Sun- 11 pm to 7 am)
The Link and Option Center, Inc. —South Holland, IL
- $22 an hour
- 8 hour shift
- Spanish
- HIPAA
- English
Quick Apply
Medical Assistant/LPN
Franciscan Health —Crown Point, IN
- Full-time
- Vital signs
- 5 years
- BLS Certification
CCBHC Evaluation & Treatment Planning Specialist
Metropolitan Family Services —Merrionette Park, IL
- $64,000 - $72,000 a year
- Addiction Medicine
- Writing skills
- Licensed Clinical Social Worker
- Health savings account
- Health insurance
Quick Apply
Revenue Cycle Certified Coder
Orthopedic Specialists of Northwest Indiana, LLC —Munster, IN
- $20 - $25 an hour
- Full-time
- Anatomy knowledge
- Computer literacy
- Writing skills
Quick Apply
Residential Support Specialist
The Thresholds —Chicago, IL
- $23.10 - $25.10 an hour
- Weekends as needed
- LPC
- Mid-level
- Residential
- 403(b) matching
- Mileage reimbursement
Quick Apply
Recovery Support Specialist - PT (Sat & Sun- 3 pm to 11 pm)
The Link and Option Center, Inc. —South Holland, IL
- $22 an hour
- 8 hour shift
- Spanish
- HIPAA
- English
Quick Apply

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clinical document specialist jobs near merrillville, in

CLINICAL DOCUMENT SPECIALIST

Methodist Hospitals -
Merrillville, IN

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Job Details

Qualifications

Inpatient experience
HIPAA
Health information regulatory compliance
Computer skills
Health information management
Clinical confidentiality policies
Clinical documentation standards
Hospital experience

Full Job Description

Overview:

Facilitates and obtains appropriate and complete medical record documentation to reflect patient acuity level and care provided. Ensures that clinical documentation is accurately and compliantly captured at the point of service.

Responsibilities:

PRINCIPAL DUTIES AND RESPONSIBILITIES(*Essential Functions)

Responsible for facilitating concurrent documentation of the medical record to achieve accurate inpatient coding and legitimate DRG assignment for billing integrity. Reviews all provider documentation as necessary to ensure complete and accurate documentation. Collaborates with HIM Coders to ensure that the clinical information used in measuring and reporting outcomes is complete and accurate and reimbursement is received fro the level of services rendered to patients with DRG-based payers.
Participates in education of members of the patient care team on documentation guidelines as guided by department leadership.
Collect and analyze data to provide reports and make recommendations.
Completes admission reviews of patient records within 24-48 hours of admission for specified patient population to evaluate documentation and generate the working DRG.
Conducts concurrent follow-up reviews of records as necessary, not to exceed 4 days from prior review. Update notes and revise working DRG based on new documentation.
Electronically query physicians/other providers regarding missing, unclear, or conflicting medical record documentation and obtains additional documentation within the medical record when needed.
Document all reviews in the CDI application to facilitate tracking, data collection, and communication with coders and department leaders.
Take all necessary action to resolve physician queries prior to patient discharge.
Contribute to and participate in physician, nursing, and other ancillary staff education documentation requirements.
Utilize EHR Clinical Documentation Improvement process flow tools to collect data to support reporting of required indicators - Number of reviews per day/patient - Query generation - Query completion to include outcome - Current and expected DRG with weight change - APR-DRG SOI score improvement.
Make recommendations for change processes required to capture needed documentation, such as note template and query content redesign.

Qualifications:

JOB SPECIFICATIONS(Minimum Requirements)

KNOWLEDGE, SKILLS, AND ABILITIES

Registered Health Information Technologist/Registered Health Information Administrator
Excellent communication skills
Ability to work independently and in a team environment.
Self-starter, professional courtesy, positive attitude.
Demonstrates knowledge of procedures for protecting and maintaining security, confidentiality, and integrity of employee, patient and family, organizational, or other medical information. Understands and supports the commitment of Methodist Hospitals in adhering to federal, state, and local laws, rules, and regulations governing ethical business practices for healthcare providers.

EDUCATION

Requirements for this position are: a. An Associate's Degree from a recognized college or university in Nursing and a current Registered Nurse licensure in the State of Indiana, OR b. A Bachelor's Degree from a recognized college or university in health records management or a closely related field and RHIA.
Associates Nursing Required
Bachelors Health Information Required
Minimum 2 years inpatient hospital coding experience
2 years Healthcare/Medical - Health Information Systems/Technology/MIS Required
Minimum 3 years' experience in Clinical documentation Improvement (Preferred), hospital inpatient quality chart review or Case Management
RHIA - Registered Health Info Administrator
RHIT - Registered Health Info Technician
Licensed Registered Nurse

STANDARDS OF BEHAVIOR
Meets the Standards of Behavior as outlined in Personnel Policy and Procedure #1, Employee Relations Code.

CONFIDENTIALITY/HIPAA/CORPORATE COMPLIANCE
Demonstrates knowledge of procedures for protecting and maintaining security, confidentiality and integrity of employee, patient, family, organizational and other medical information. Understands and supports the commitment of Methodist Hospitals in adhering to federal, state and local laws, rules and regulations governing ethical business practices for healthcare providers.

DISCLAIMER - The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. The statements are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required.

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Refine Your Search

clinical document specialist jobs in merrillville, in

CLINICAL DOCUMENT SPECIALIST

Medical Laboratory Scientist-MT

Psychosocial Case Coordinator

Medical Scribe - Bilingual Spanish Required

Medical Scribe - Bilingual Spanish Required

Medical Assistant - Bilingual Spanish

Business Office Specialist

Mobile Crisis Specialist -Weekends (Sat/Sun, 3 pm to 11 pm)

Medical Scribe

Medical Assistant

Eligibility Specialist 1

Adjunct Faculty - Phlebotomy

SLEEP TECHNOLOGIST

HEARING & SPEECH TECHNICIAN II

Recovery Support Specialist - PT (Sat & Sun- 11 pm to 7 am)

Medical Assistant/LPN

CCBHC Evaluation & Treatment Planning Specialist

Revenue Cycle Certified Coder

Residential Support Specialist

Recovery Support Specialist - PT (Sat & Sun- 3 pm to 11 pm)

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