Clinical Documentation Integrity Specialist
3 weeks ago
- Conducts the initial concurrent review process for all selected admissions.
- Clarifies documentation in the medical record as appropriate through communication with the physicians, nurses, and ancillary staff. Assures documentation in chart represents a true clinical picture of the patient diagnoses and supports care that was given and DRG assigned.
- Documents findings within Carle CDI software and updates software as required to reflect status of the encounter and any follow up.
- Coordinates with the physicians, nurses, ancillary hospital staff, and Health Information Management Department's coding staff to identify and record principal and secondary diagnoses, principal procedures, and assign the working DRG.
- Follows query process and escalates as necessary.
- Conducts education related to CDI topics to peers and providers as needed or requested.
- Performs second level review on selected inpatient encounters.
- Reviews denials for accurate and complete documentation and develops appeal letter when needed.
- Attends mandatory and regular education sessions as needed.
- Follows appropriate workflow in EPIC and CDI software and notifies one up leader of any issues.
- May serve as an "expert" and participate in testing for upgrades as needed.
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Clinical Documentation Specialist
2 weeks ago
, OH, United States Shaker for ChristianaCare Direct Full timeRN Clinical Documentation Integrity Quality & Safety SpecialistWe are seeking a highly skilled Registered Nurse to join our team as a Clinical Documentation Integrity Quality & Safety Specialist. This role will focus on ensuring the accuracy and completeness of clinical documentation, while also promoting quality and safety initiatives within our...
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Clinical Documentation Integrity Specialist
2 weeks ago
Hoopeston, IL, United States CARLE Full timePerforms inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care provided, including severity of illness and risk of mortality which impacts Case Mix Index and mortality ratings. Coordinates with physicians, nurses, ancillary staff, and the coders in Health Information...
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Clinical Documentation Integrity Specialist
4 months ago
Urbana, IL, United States CARLE Full timePerforms inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care provided, including severity of illness and risk of mortality which impacts Case Mix Index and mortality ratings. Coordinates with physicians, nurses, ancillary staff, and the coders in Health Information...
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Clinical Documentation Integrity Specialist
3 weeks ago
Villa Grove, IL, United States CARLE Full timePerforms inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care provided, including severity of illness and risk of mortality which impacts Case Mix Index and mortality ratings. Coordinates with physicians, nurses, ancillary staff, and the coders in Health Information...
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Clinical Documentation Integrity Specialist
2 months ago
San Francisco, CA, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
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Documentation Specialist
4 weeks ago
, IL, United States Insight Global Full timeJob DescriptionWe are seeking a highly skilled Documentation Specialist to join our team at Insight Global. As a key member of our corporate card implementation team, you will play a critical role in supporting the onboarding process for our clients.Key Responsibilities:Coordinate the submission and return of legal agreements, KYC & AML artifacts required to...
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Santa Fe, NM, United States Christus Health Full timeDescription POSITION SUMMARY: The Clinical Documentation Supervisor is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The CDI supervisor will provide support and expertise through comprehensive assessment and review of inpatient medical records. The CDI Supervisor will facilitate accurate...
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Santa Fe, NM, United States Christus Health Full timeDescription POSITION SUMMARY: The Clinical Documentation Supervisor is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The CDI supervisor will provide support and expertise through comprehensive assessment and review of inpatient medical records. The CDI Supervisor will facilitate accurate...
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Santa Fe, NM, United States Christus Health Full timeDescriptionPOSITION SUMMARY: The Clinical Documentation Supervisor is responsible for facilitating improvement in the overall quality and completeness of the medical record documentation. The CDI supervisor will provide support and expertise through comprehensive assessment and review of inpatient medical records. The CDI Supervisor will facilitate accurate...
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Documentation Specialist
4 days ago
, FL, United States MILLENNIUMSOFT Full timeJob Title: Documentation SpecialistJob Summary:The Documentation Specialist will be responsible for obtaining medical documentation from physicians to substantiate a patient's need for medical supplies. The successful candidate will have excellent communication skills and be able to work independently.Key Responsibilities:Obtain medical documentation from...
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Atlanta, GA, United States Shaker for ChristianaCare Direct Full timeRN Clinical Documentation Specialist Day Shift (Hours: M-F 8 hours) Hybrid / No Weekends or Holidays! Newark, DE Christiana Care Hospital is hiring a RN Clinical Documentation Specialist for improving the overall quality and completeness of clinical documentation within the inpatient medical record. This is a hybrid position with remote and onsite...
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Savannah, GA, United States Shaker for ChristianaCare Direct Full timeRN Clinical Documentation SpecialistDay Shift (Hours: M-F 8 hours) Hybrid / No Weekends or Holidays!Newark, DEChristiana Care Hospital is hiring a RN Clinical Documentation Specialist for improving the overall quality and completeness of clinical documentation within the inpatient medical record. This is a hybrid position with remote and onsite requirements....
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Virginia Beach, VA, United States Shaker for ChristianaCare Direct Full timeRN Clinical Documentation SpecialistDay Shift (Hours: M-F 8 hours) Hybrid / No Weekends or Holidays!Newark, DEChristiana Care Hospital is hiring a RN Clinical Documentation Specialist for improving the overall quality and completeness of clinical documentation within the inpatient medical record. This is a hybrid position with remote and onsite requirements....
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Document Imaging Specialist
3 weeks ago
, WI, United States Peoples State Bank Full timeJob Title: Document Imaging SpecialistAre you ready to embark on an exciting career in document imaging? As a Document Imaging Specialist at Peoples State Bank, you will play a crucial role in transforming paperwork into digital treasures.Job Summary:We are seeking a highly organized and detail-oriented individual to join our team as a Document Imaging...
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Clinical Documentation Improvement Specialist
2 months ago
Arroyo Grande, CA, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
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Systems Integration Architect
3 days ago
, IL, United States Matthews International Corporation Full timeSystems Integration ArchitectBrand: MatthewsCompany: Schawk USA Inc. (US103)Line of Business: MATW CorporateLocation:IL, USReq ID: 13346POSITION SUMMARYThe Systems Integration Architect is responsible for for all aspects of integration between Matthews’ enterprise applications and third-party systems, including developing a strategic roadmap that enables...
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Arrowsmith, United States CARLE Full timeThe Ambulatory Nurse utilizes a systematic approach to nursing by incorporating assessment, planning, implementation and evaluation in the practice of nursing. Provides healthcare to individuals, families, and communities within the RN scope of practice as defined by the Illinois Board of Nursing.Provides and facilitates competent health care of patients and...
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Anesthesiology Specialist
1 week ago
, NC, United States Integrity Locums Full timeJob Summary:We are seeking a skilled Anesthesiology Specialist to join our team at Integrity Locums. As a key member of our perioperative care team, you will be responsible for providing high-quality anesthesia care to patients undergoing various surgical procedures.Responsibilities:Provide anesthesia care for patients undergoing general, orthopedic,...
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Clinical Programmer II
4 weeks ago
, NC, United States Aperio Clinical Outcomes Full timeThe OpportunityAperio Clinical Outcomes is seeking a highly skilled Clinical Programmer II to join our team. As a Clinical Programmer II, you will be responsible for leading and managing all necessary EDC programming activities from implementation through ongoing maintenance, including database migrations and study closure.Key Responsibilities:Lead and...
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Senior Documentation Specialist
2 weeks ago
, OH, United States Quest Diagnostics Incorporated Full timeJob Title: Senior Documentation SpecialistQuest Diagnostics Incorporated is seeking a highly skilled Senior Documentation Specialist to join our Product Communication and Training team. As a key member of this team, you will be responsible for overseeing and delivering all customer-facing product documentation for a particular product line.Key...