Top 13 Clinical documentation specialist Jobs in Utica Ny

Clinical Documentation Improvement Specialist
Oneida Health —Oneida, NY
- $22 - $27 an hour
- Full-time
- Nursing
- Mid-level
- Bachelor's degree
Manager, Coding
Mohawk Valley Health Systems —Utica, NY
- $80,000 - $115,000 a year
- 8 hour shift
- Hybrid work
- Anatomy knowledge
- 3 years
- Bachelor's degree
Staff RN - ECMO Spec / FT, nights
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule
Staff RN - ECMO Spec / FT, D/N
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule
Travel PCU RN in Memphis, Tennessee
GIFTED Healthcare —United States
- $2,043.40 - $2,135.99 a week
- Overtime
- Nursing
- RN License
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
2d
Travel IMC RN Job in Birmingham, Alabama
GIFTED Healthcare —United States
- $2,122.06 - $2,242.62 a week
- Overtime
- Nursing
- Medication administration
- RN License
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse Radiation Oncology
Florida Cancer Specialists & Research Institute —United States
- Full-time
- Background check
- CPR Certification
- Microsoft Excel
- Tuition reimbursement
- 401(k) matching

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An active, unrestricted RN, NP, LPN, or LCSW license (a multi-state or compact license is preferred). You can pull, sort, and understand QA data on your own.
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clinical documentation specialist jobs near utica ny

Clinical Documentation Improvement Specialist

Oneida Health -
Oneida, NY

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Job Details

Full-time
$22 - $27 an hour

Qualifications

Collaborate with healthcare professionals
Computer operation
Meditech
Regulatory compliance
Clinical documentation
Computer skills
Clinical documentation standards
Cross-functional communication

Full Job Description

Job Title: Clinical Documentation Improvement Specialist

Job Summary:

As a Clinical Documentation Improvement Specialist, you play a pivotal role in elevating the accuracy and completeness of clinical documentation within the electronic health record (EHR) system, specifically utilizing the Meditech platform. Your primary responsibilities include conducting comprehensive reviews of patient medical records, collaborating with healthcare providers to ensure accurate coding, and implementing strategies for documentation improvement. Through education and training initiatives, you contribute to enhancing the overall quality of documentation, complying with coding guidelines, and fostering effective communication among multidisciplinary teams.

Key Responsibilities:

Conduct thorough reviews of patient medical records to identify opportunities for enhanced documentation accuracy.
Collaborate with physicians, nurses, and other healthcare professionals to obtain clarification and additional information supporting precise coding.
Educate and train clinical staff on best practices for documentation improvement and coding guidelines.
Analyze coding and documentation trends to identify areas for process improvement and implement strategies to address deficiencies.
Assist in developing and implementing policies and procedures related to clinical documentation improvement.
Stay updated on changes in coding guidelines, regulations, and Meditech updates to ensure compliance and adherence to best practices.

Requirements:

This role requires attention to detail, a deep understanding of clinical documentation, and the ability to foster collaboration among healthcare professionals. If you are passionate about enhancing the quality of healthcare documentation and ensuring compliance, we invite you to apply for this impactful position.

Physical Requirements:

Ability to navigate and review electronic health records.
Regular use of computer and office equipment.

Education:

Bachelor's degree in nursing, health information management, or relevant field; prior experience will be considered.

Experience:

Clinical experience in a healthcare setting, preferably in a hospital environment.

Certifications:

Certified Clinical Documentation Improvement Specialist (CCDS) or Certified Coding Specialist (CCS) certification preferred.

Technical Skills:

Proficiency in working with Meditech EHR system.
Strong knowledge of coding guidelines, healthcare regulations, and clinical documentation requirements.

Soft Skills:

Excellent communication and interpersonal skills.
Ability to collaborate effectively with multidisciplinary teams.

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Refine Your Search

clinical documentation specialist jobs in utica ny

Clinical Documentation Improvement Specialist

Manager, Coding

Staff RN - ECMO Spec / FT, nights

Staff RN - ECMO Spec / FT, D/N

Travel PCU RN in Memphis, Tennessee

Travel IMC RN Job in Birmingham, Alabama

Registered Nurse Radiation Oncology

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