Clinical Documentation Specialist

2 weeks ago

Washington, United States Children's National Hospital Full time
Job Summary

The Clinical Documentation Improvement (CDI) RN Specialist will play a vital role in ensuring the overall quality and completeness of clinical documentation for specified populations at Children's National Hospital.

Key Responsibilities
  • Facilitate modifications to clinical documentation through concurrent interaction with physicians and other members of the healthcare team to support the appropriate severity of illness, expected risk of mortality, and complexity of care rendered to inpatient populations.
  • Collaborate with Coder CDI Specialist in regard to interaction with physicians on documentation, and to resolve physician queries prior to patient discharge.
  • Communicate with physicians (face-to-face or via clinical documentation inquiry forms) regarding missing, unclear, or conflicting medical record documentation; work with providers to ensure accurate and complete documentation is in the patient record.
  • Apply nationally recognized criteria to support physician queries; address delays in closing of physician queries with the appropriate departmental and leadership individuals.
  • Coordinate daily evaluation of documentation by the medical staff and/or healthcare team in accordance with Children's National policies and procedures.
Program Activities
  • Target activities to specific payers, DRGs, and teams based on financial and clinical data analysis.
  • Collect and analyze data on program efforts and outcomes; identify patterns, trend variances, and opportunities to improve documentation review and process.
  • Assist in the development and reporting of performance measures to the medical staff and/or healthcare teams; prepare physician-specific data reports.
Requirements
  • Minimum Education: BSN (Required)
  • Minimum Work Experience: 5 years Experience with at least 3 years in clinical nursing (Required)

  • Clinical Documentation Specialist

    1 month ago

    Washington, Washington, D.C., United States Trios Health Full time

    Clinical Documentation SpecialistWe are seeking a skilled Clinical Documentation Specialist to join our team at Trios Health.Key Responsibilities:Collaborate with physicians and coding staff to improve the quality and completeness of clinical documentation.Facilitate modifications to clinical documentation to ensure accuracy and consistency.Capture clinical...

  • Clinical Documentation Specialist

    2 weeks ago

    Washington, Washington, D.C., United States Trios Health Full time

    Clinical Documentation SpecialistWe are seeking a skilled Clinical Documentation Specialist to join our team at Trios Health.Key Responsibilities:Collaborate with physicians and coding staff to improve the quality and completeness of clinical documentation.Facilitate modifications to clinical documentation to ensure accuracy and compliance.Capture clinical...

  • Documentation Specialist

    2 weeks ago

    Washington, Washington, D.C., United States JBW Federal Full time

    Job Title: Documentation SpecialistJBW Federal is a subsidiary company of the Kanaka Foundation, an organization dedicated to supporting Native Hawaiians. As a Documentation Specialist, you will play a crucial role in maintaining accurate and up-to-date personnel files.Key Responsibilities:Upload personnel files into the agency applicationCopy files onto...

  • Medical Assistant Professional

    4 weeks ago

    Washington, Washington, D.C., United States Specialist Office Full time

    Job Title: Medical AssistantWe are seeking a highly skilled and detail-oriented Medical Assistant to join our team at Specialist Office. As a Medical Assistant, you will play a vital role in providing exceptional patient care and supporting our healthcare team.Key Responsibilities:Greets patients and prepares them for physical examination, ensuring a...

  • Documentation Specialist

    2 weeks ago

    Washington, Washington, D.C., United States JBW Federal Full time

    Job SummaryJBW Federal is seeking a highly organized and detail-oriented Documentation Specialist to join our team. As a key member of our records management team, you will be responsible for uploading personnel files into our agency application and ensuring the accuracy and completeness of our records.Key ResponsibilitiesRetrieve and process personnel...

  • Senior Documentation Specialist

    4 days ago

    Washington, Washington, D.C., United States Gateway Ventures Ltd Full time

    Senior Documentation SpecialistGateway Ventures Ltd is seeking a skilled Senior Documentation Specialist to support the development and maintenance of effective information management plans, processes, repositories, and systems. The ideal candidate will have a strong background in documentation and records management, with the ability to organize, maintain,...

  • Construction Documentation Specialist

    2 weeks ago

    Washington, Washington, D.C., United States THE GIBBS GROUP Full time

    Job Title: Construction Documentation SpecialistGibbs Group, Inc. is a leading construction and engineering firm that specializes in delivering high-quality residential, commercial, and infrastructure projects. We are committed to excellence, safety, and sustainability in every project.Job Summary:The Construction Documentation Specialist will play a...

  • Senior Documentation Specialist

    2 weeks ago

    Washington, Washington, D.C., United States Three Saints Bay Full time

    Job Title: Senior Documentation Specialist Job Summary: Three Saints Bay, LLC, a Federal Government Contractor industry leader, is seeking a Senior Documentation Specialist to support the development and maintenance of effective information management plans, processes, repositories, and systems. Key Responsibilities: Develop and maintain information...

  • Document Control Specialist

    2 weeks ago

    Washington, Washington, D.C., United States Senate Full time

    Job SummaryThe Senate is seeking a highly organized and detail-oriented Document Control Specialist to manage the classified document control system. This role requires strong communication and interpersonal skills to coordinate with Senate offices, committees, and commissions.Key ResponsibilitiesReceive and log documents into the document control...

  • Document Control Specialist

    1 week ago

    Washington, Washington, D.C., United States Street Legal Industries Inc Full time

    Job SummaryStreet Legal Industries Inc is seeking a skilled Document Control Specialist to join our team. The ideal candidate will have 2+ years of experience working in Kahua and a strong background in document control management. Key Responsibilities Tracking RFI and submittal response deadlines Routing files and managing badgingRequirements 5-8+ years of...

  • Document Control Specialist

    5 days ago

    Washington, Washington, D.C., United States Street Legal Industries Inc Full time

    Job SummaryAt Street Legal Industries Inc, we are seeking a skilled Document Control Specialist to join our team. The ideal candidate will have 2+ years of experience working in Kahua and a proven track record of managing document control for federal projects. Key Responsibilities Track RFI and submittal response deadlines Route files and manage...

  • Document Control Specialist

    3 weeks ago

    Washington, Washington, D.C., United States Flatiron Construction Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Document Control Specialist to join our team at Flatiron Construction. As a key member of our project team, you will be responsible for ensuring the accuracy and timely release of construction documents.Key ResponsibilitiesProcess and reproduce construction documents to maintain accuracy and...

  • Senior Documentation Specialist

    4 days ago

    Washington, Washington, D.C., United States Gateway Ventures Ltd Full time

    Gateway Ventures Ltd, a subsidiary of Three Saints Bay, LLC, and a Federal Government Contractor industry leader, is seeking a Senior Documentation Specialist to support the development and maintenance of effective information management plans, processes, repositories, and systems.Main Responsibilities:Maintain document version control and configuration...

  • ATO Documentation Specialist

    2 weeks ago

    Washington, Washington, D.C., United States Easy Dynamics Full time

    Job DescriptionWe are seeking a highly skilled ATO Documentation Specialist to support our government's cybersecurity and compliance initiatives. The successful candidate will prepare and maintain documentation required for system authorization, obtain and maintain ATO, and continuous monitoring.The ideal candidate will have experience with cloud security,...

  • Document Control Specialist

    1 week ago

    Washington, Washington, D.C., United States V2X Full time

    Job SummaryV2X is seeking a highly skilled Document Control Specialist to join our team. As a key member of our security operations team, you will be responsible for processing documents, maintaining records, and ensuring the secure transmission of classified information.Key Responsibilities:Process documents in the Automated Document Control System (ADCS)...

  • Document Review Specialist

    3 days ago

    Washington, Washington, D.C., United States Williams Lea Full time

    Job Summary:Williams Lea is seeking a skilled Document Review Specialist to join our team in Wheeling, WV. As a key member of our document production team, you will be responsible for reviewing and preparing documents to support our clients' brands and track progress.Key Responsibilities:Create and edit legal documents to client specifications using...

  • Senior Documentation Specialist

    1 month ago

    Washington, Washington, D.C., United States Three Saints Bay, LLC Full time

    Three Saints Bay, LLC, a subsidiary of Three Saints Bay, LLC, and a Federal Government Contractor industry leader, is seeking a Senior Documentation Specialist to support our team in Washington, DC.Key Responsibilities:Develop and maintain accurate and comprehensive documentation for our projects.Collaborate with cross-functional teams to ensure...

  • Senior Documentation Specialist

    1 week ago

    Washington, Washington, D.C., United States Three Saints Bay, LLC Full time

    Three Saints Bay, LLC, a subsidiary of Three Saints Bay, LLC, and a Federal Government Contractor industry leader, is seeking a Senior Documentation Specialist to fill a critical role in Washington, DC.Key Responsibilities:Develop and maintain technical documentation for various projects.Collaborate with cross-functional teams to ensure documentation meets...

  • Project Document Specialist

    1 week ago

    Washington, Washington, D.C., United States TWO95 International Full time

    Job Title: Project Document SpecialistLocation: Hybrid (Washington, DC)Duration: 1+ years ContractRate: $OpenMinimum Qualifications:Bachelor's Degree required OR equivalent combination of training, education and relevant experience may be considered in lieu of a degree.Demonstrated instructional writing skills and experience to provide clear and concise...

  • Clinical Review Specialist

    4 weeks ago

    Washington, Washington, D.C., United States Healthcare Legal Solutions Full time

    Clinical Review Specialist Job DescriptionThe Clinical Review Specialist plays a crucial role in ensuring the accuracy and completeness of medical records and claim documentation. This position is responsible for reviewing and interpreting medical records and claim documentation to assist with the appeals of denied insurance claims.Key...