Top 4 Document specialist Jobs in Placerville, Ca

Clinical Documentation Integrity Specialist (Roseville)
Adventist Health —Roseville, CA
- $46.75 - $64.13 an hour
- Day shift
- Nursing
- RN License
- Mid-level

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Clinical Documentation Integrity Specialist (Roseville)

Adventist Health -
Roseville, CA

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Job Details

$46.75 - $64.13 an hour

Qualifications

Nursing
RN License
Corporate training
CDIP
Metrics Reporting
Mid-level
RHIT
Clinical feedback sessions
Quality performance measurement
Clinical staff training
Continuous improvement
Clinical training
Health information data integrity
Clinical staff mentoring
Issue tracking
Certified Coding Specialist
Associate's degree in health information management
Health record chart audits
Clinical documentation improvement
LPN
Health information management
Health Information Management
Data validation
Clinical documentation standards
Associate's degree
Associate Degree in Nursing
2 years
Audit support
Documentation review for coding accuracy

Full Job Description

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.

Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary:

Assists with ensuring accurate and complete documentation in the medical record to support quality measures and coding accuracy. Working under the direction of quality leader, this role reviews patient records, recommends provider queries using established templates, and helps ensure documentation supports appropriate coding. Supports the Quality teams by performing chart reviews, following up on query responses, and assisting with documentation improvement initiatives. Works collaboratively with providers, quality, CDI and coding staff to address documentation gaps and supports data integrity efforts.

Job Requirements:

Education and Work Experience:

Associate's/Technical Degree in Nursing, Health Information Management, or related clinical field or equivalent combination of education/related experience: Required
Bachelor's Degree: Preferred
Three years' CDI/clinical documentation experience OR coding experience: Required
Two years' clinical experience: Required
Familiarity with PSI/HAC validation, mortality reviews and external quality reporting. Exposure to risk adjustment concepts (HCC, SOI/ROM). Experience communicating with providers.: Preferred

Licenses/Certifications:

RN OR LPN OR RHIT OR CCS, or equivalent: Required
Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner Certificate (DIP): within 12 months of hire
Current licensed RN, medical provider or equivalent: Required

Essential Functions:

Performs chart reviews of inpatient medical records following established criteria and checklists. Identifies documentation gaps and flag cases requiring clarification. Drafts provider queries using approved templates when clarification is needed.
Assists with case reviews to support coding accuracy for quality measures. Works with CDI & coding professionals and quality teams as directed. Helps track documentation issues that may impact quality reporting.
Communicates with physicians and clinical staff regarding documentation clarification requests. Provides real-time feedback and education to clinicians on documentation best practices. Serves as a liaison between quality, coding, and clinical teams to resolve documentation issues.
Assists with educational materials and resources on documentation best practices. Supports CDI staff with training preparation as needed.
Stays current on CDI best practices and apply learnings to daily work. Participates in audits and metrics tracking as assigned. Supports continuous improvement efforts within the quality program.
Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

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document specialist jobs in placerville, ca

Clinical Documentation Integrity Specialist (Roseville)

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