Clinical Documentation Specialist

3 weeks ago


Lihue, United States Hawaii Pacific Health Full time

Job Description

Founded in 1938, Wilcox Medical Center is a not-for-profit medical center dedicated to providing the Kaua'i community with accessible quality health care. The largest medical center on Kaua'i, it is a state-of-the-art acute care facility with a full suite of services offering 30 specialties and programs, including cardiology, emergency, family practice, gastroenterology, health management, internal medicine, neurology, OB-GYN, oncology, orthopedics, pediatrics and urology. Its 18-bed emergency department serves as the island's Primary Stroke Center. The medical center also has four birthing suites, seven intensive care beds and 20 same-day surgery beds. Wilcox is the first American College of Surgeons-verified Level III Trauma Center in the state of Hawai'i. Wilcox is part of Hawai'i Pacific Health, one of the state's leading health care systems and a not-for-profit health care organization with medical centers, clinics, physicians and other caregivers working together to create a healthier Hawai'i.

Health Information Services (HIS) processes patient medical records and releases health information to patients, physicians, and other outside facilities for treatment, payment, or review. HIS is the custodian and gatekeeper for privacy of the organization's medical records and also generates the coding procedures for data collection, research, and reimbursement. With the widespread computerization of health records and other information sources, including hospital administration functions and health human resources information, health informatics and health information technology are being increasingly used in the health care sector.

If you are highly organized and detail-oriented, you can help to manage our clinical records according to the highest ethical standards of patient privacy and security. As the Clinical Documentation Specialist, you will work to improve the overall quality of medical record documentation to ensure compliance with Medicare and Medicaid (CMS) guidelines and to expedite reimbursement. You will use both clinical and coding knowledge to obtain documentation through extensive interaction with physicians, nursing, other patient caregivers, Case Management and Health Information Management staff. You will also ensure that the clinical information used in measuring and reporting outcomes is complete, accurate, and that reimbursement is received for services rendered to patients with DRG-based payers. You will also educate members of the patient care team on documentation guidelines. We are looking for someone with exceptional organizational and communication skills, attention to detail and protocol and a commitment to delivering the highest quality health care to Hawai'i's people.

Location: Wilcox Medical Center, Lihue, HI

Work Schedule: Day - 8 Hours

Work Type: Full Time Regular

FTE: 1.000000

Bargaining Unit: Non-Bargaining

Starting Hourly Rate: 56.76

Exempt: Yes

Minimum qualifications: Bachelor's degree and/or equivalent combination of education, training and experience. Current Hawai'i Registered Nurse License. Five (5) years of clinical experience in an acute setting that include inpatient bedside nursing.

Preferred Qualifications: Clinical Documentation Improvement (CDI) certification. Experience with InterQual, Milliman or other nationally recognized Utilization Management criteria. Experience with DRGs or inpatient ICD-10-CM/PCS coding.

EOE/AA/Disabled/Vets

Hawai'i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. The pay rate, if displayed, is the minimum hourly rate for the position. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.

Position Clinical Documentation Specialist - Health Information Servi

Category Health Information Management

Employment Type Employee

Location Wilcox Medical Center, Lihue, HI

Req ID 25425



  • Lihue, United States Hawaii Pacific Health Full time

    Job Description Founded in 1938, Wilcox Medical Center is a not-for-profit medical center dedicated to providing the Kaua'i community with accessible quality health care. The largest medical center on Kaua'i, it is a state-of-the-art acute care facility with a full suite of services offering 30 specialties and programs, including cardiology, emergency,...


  • Lihue, United States Clinical Laboratories of Hawaii, LLP Full time

    Position Overview:Join a team where quality is paramount!As a dedicated medical laboratory professional, you possess a keen analytical mindset, a commitment to patient care, and the technical expertise necessary to produce accurate results. You seek a workplace that offers comprehensive benefits, a collaborative environment, and opportunities for...


  • Lihue, Hawaii, United States BrightSpring Health Services Full time

    CLINICAL PHARMACY SPECIALISTJob OverviewAt BrightSpring Health Services, we are dedicated to delivering outstanding pharmaceutical care tailored to the needs of our patients. Our team is committed to ensuring the highest standards of service and quality in the healthcare industry.Key ResponsibilitiesAssess and review physician medication orders for...


  • Lihue, Hawaii, United States PharMerica Full time

    Company OverviewPharMericaAbout UsAt PharMerica, we are dedicated to delivering outstanding pharmaceutical services tailored to the needs of healthcare facilities including hospitals, rehabilitation centers, and long-term care institutions across the nation. If you are committed to excellence in service and quality care, we invite you to explore...


  • Lihue, Hawaii, United States Sonic Healthcare Full time

    Position Overview: Are you ready to make a difference in the world of healthcare? As a dedicated professional in the clinical laboratory field, you possess the analytical skills and technical expertise necessary to deliver precise results that aid in patient care. You thrive in a collaborative environment and are eager to contribute to a team that...

  • Medical Assistant

    1 month ago


    Lihue, United States Hawaii Pacific Health Full time

    Job Description Kaua'i Medical Clinic is the island’s largest clinic and only multispecialty medical group. More than 85 physicians and midlevel providers offer primary and specialty care at clinic locations in Eleele, Kapaa, Koloa and Lihue.Kaua'i Medical Clinic is the island’s largest clinic and only multispecialty medical group. More than 85...

  • Medical Assistant

    7 days ago


    Lihue, United States Hawaii Pacific Health Full time

    Job Description Kaua'i Medical Clinic is the island’s largest clinic and only multispecialty medical group. More than 85 physicians and midlevel providers offer primary and specialty care at clinic locations in Eleele, Kapaa, Koloa and Lihue. The Kapa'a Clinic provides family practice and internal medicine on the east side of the island. Family...


  • Lihue, Hawaii, United States Enterprise Mobility Full time

    OverviewEnterprise Mobility, the parent company of the National, Enterprise, and Alamo car rental brands, is seeking dedicated Full-Time Vehicle Operations Specialists to become part of our exceptional team. As the largest and fastest-growing privately owned automotive rental and leasing organization in North America, we pride ourselves on our commitment to...


  • Lihue, United States BAYADA Home Health Care Full time

    Become a Compassionate Support Specialist at BAYADA Home Health Care BAYADA Home Health Care is actively seeking Direct Support Professionals (DSP) to join our dedicated team. As a BAYADA support specialist, you will work closely with individuals facing intellectual or developmental challenges, providing essential companionship and mentorship to help them...

  • LPN - Clinic I (Meds)

    4 weeks ago


    Lihue, United States Kaiser Permanente Full time

    Job Summary: Under direction of Registered Nurse and medical orders of the Practitioner, provides direct and indirect nursing care in outpatient setting. In addition, orients and serves as a resource to LPN Clinic/Meds I as needed. Essential Responsibilities: Reviews and prepares medical records for assigned patients; initiates follow-up for medical...


  • Lihue, United States Kaiser Permanente Full time

    Job Summary: Under direction of Registered Nurse and medical orders of the Practitioner, provides direct and indirect nursing care in outpatient setting. Essential Responsibilities: Reviews and prepares medical records for assigned patients; initiates follow-up for medical record as requested; reviews patients needs; identifies and prepares orders for...


  • Lihue, United States Kaiser Permanente Full time

    Job Summary Under direction of Registered Nurse and medical orders of the Practitioner, provides direct and indirect nursing care in outpatient setting. Essential Responsibilities Reviews and prepares medical records for assigned patients; initiates follow-up for medical record as requested; reviews patients needs; identifies and prepares orders for needs...

  • LPN - Clinic I (Meds)

    4 weeks ago


    Lihue, United States Kaiser Full time

    Job Summary: Under direction of Registered Nurse and medical orders of the Practitioner, provides direct and indirect nursing care in outpatient setting. In addition, orients and serves as a resource to LPN Clinic/Meds I as needed. Essential Responsibilities: Reviews and prepares medical records for assigned patients; initiates follow-up for medical record...


  • Lihue, United States Kaiser Full time

    Job Summary: Under direction of Registered Nurse and medical orders of the Practitioner, provides direct and indirect nursing care in outpatient setting. In addition, orients and serves as a resource to LPN Clinic/Meds I as needed. Essential Responsibilities: Reviews and prepares medical records for assigned patients; initiates follow-up for medical record...


  • Lihue, United States Hawaii Pacific Health Full time

    Position Overview The Hawai'i Pacific Health Medical Group encompasses a network of over 700 dedicated physicians and advanced practice providers. In collaboration with our four medical centers and numerous clinic locations across the state, we represent one of the largest nonprofit health systems in Hawaii. Our integrated approach allows our network of...


  • Lihue, United States Kaiser Permanente Full time

    Description: Job Summary: Under direction of Registered Nurse and medical orders of the Practitioner, provides direct and indirect nursing care in outpatient setting. Essential Responsibilities: Reviews and prepares medical records for assigned patients; initiates follow-up for medical record as requested; reviews patients needs; identifies and prepares...


  • Lihue, Hawaii, United States Kauai Mechanical, Inc. Full time

    Position OverviewKauai Mechanical Inc., a reputable mechanical contracting firm, is seeking a dedicated and skilled individual to join our team as an Experienced HVAC Installation Specialist within our Installations Division.The primary role of the HVAC Installation Specialist is to demonstrate technical expertise in the installation of diverse HVAC systems,...


  • Lihue, Hawaii, United States Kauai Mechanical, Inc. Full time

    Position OverviewKauai Mechanical Inc., a reputable mechanical contracting firm, is seeking a dedicated and skilled individual to become part of their team as an Experienced HVAC Service Specialist within the Service Department.The Experienced HVAC Service Specialist operates under the guidance of the Service Department Manager and the Service Department...


  • Lihue, United States Naniq Global Logistics - Lihue Full time

    Job Overview:The **Safety Compliance Specialist** is essential in promoting a secure working environment for all personnel by collaborating with the operations team to establish and uphold safety standards.This role encompasses the execution of safety briefings, aiding in the formulation of Job Hazard Analyses (JHAs), acting as the first responder to on-site...


  • Lihue, United States Fresenius Medical Care Full time

    PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory...