Clinical Documentation Specialist

2 months ago


Columbus, Ohio, United States Shaker for ChristianaCare Direct Full time
Job Title: Clinical Documentation Integrity Quality & Safety Specialist

We 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 organization.

Key Responsibilities:
  • Participate in performance improvement activities to enhance documentation and coding practices.
  • Review targeted encounters for completeness and accuracy, collaborating with Physician Advisors as needed.
  • Utilize Vizient tools and data to identify documentation opportunities and develop targeted physician education programs.
  • Manage, coach, and mentor less experienced healthcare personnel in best practice documentation.
  • Ensure all concurrent and retrospective queries are clinically relevant and escalate to Physician Champions as necessary.
  • Facilitate DRG Reconciliation and provide feedback to CDS/Coding and Leadership.
Requirements:
  • Bachelor's degree in nursing.
  • Delaware RN License or compact Nursing License.
  • Strong medical terminology and clinical awareness.
  • Effective communication and clinical skills.
  • Clinical Documentation Certification (CCDS) required within 1 year of eligibility.
  • Minimum of 3 years CDI experience, with a focus on PSIs preferred.
  • Minimum of 3 years recent experience as a Registered Nurse in an inpatient acute care hospital setting preferred.
Working Conditions:

This role will be based in Newark, DE, with occasional remote work opportunities. The ideal candidate will have strong communication and clinical skills, with the ability to work independently and as part of a team.



  • Columbus, Ohio, United States Shaker for ChristianaCare Direct Full time

    Job Title: 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...


  • Columbus, Ohio, United States Shaker for ChristianaCare Direct Full time

    Job Title: 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...


  • Columbus, Ohio, United States Accuity Full time

    Job SummaryAccuity is seeking a highly skilled Clinical Documentation Specialist to join our DRG Review Team. As a valued member of our team, you will perform a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems.Key ResponsibilitiesReview pre-bill cases simultaneously with a physician during...


  • Columbus, Ohio, United States Revel IT Full time

    Documentation SpecialistRevel IT is seeking a skilled Documentation Specialist to join our team on a part-time basis. As a Documentation Specialist, you will be responsible for creating high-quality documentation for our learning tools and platforms.Key Responsibilities:Document product overviews and user flows for various learning tools and...


  • Columbus, Ohio, United States Revel IT Full time

    Documentation SpecialistRevel IT is seeking a skilled Documentation Specialist to join our team on a part-time basis. As a Documentation Specialist, you will be responsible for creating high-quality documentation for our learning tools and platforms.Key Responsibilities:Document product overviews and user flows for various learning tools and...


  • Columbus, Ohio, United States Spectraforce Technologies Full time

    Job Title: Documentation Specialist Sr.Spectraforce Technologies is seeking a highly skilled Documentation Specialist Sr. to join our team.About the Role:The Documentation Specialist Sr. will be responsible for creating high-quality written content with meticulous attention to detail. This role will involve participating in a Quality Systems Remediation...


  • Columbus, Ohio, United States Blue Star Partners, LLC Full time

    Job Title: Documentation Specialist IILocation: Onsite – Local candidates onlyPeriod: Contract Type: W-2 onlyHours/Week: 40 hours (Hours over 40 will be paid at Time and a Half)Rate: $20 - $24/hourScope of Services:The Documentation Specialist prepares, edits, files, and assembles various types of documentation such as reports, technical documents,...


  • Columbus, Ohio, United States Spectraforce Technologies Full time

    Job Title: Senior Documentation SpecialistAt Spectraforce Technologies, we are seeking a highly skilled Senior Documentation Specialist to join our team. As a key member of our quality systems remediation program, you will play a critical role in creating high-quality written content with meticulous attention to detail.Key Responsibilities:Prepare, review,...


  • Columbus, Ohio, United States Spectraforce Technologies Full time

    Job Title: Documentation Specialist Sr.Job Summary:We are seeking a highly skilled Documentation Specialist Sr. to join our team at Spectraforce Technologies. As a key member of our quality team, you will be responsible for creating high-quality written content with meticulous attention to detail.Key Responsibilities:Develop and maintain Quality and...


  • Columbus, Ohio, United States LSI Industries Full time

    Job Title: Trainer & Documentation SpecialistAbout the Role:LSI Industries, a leading provider of advanced lighting, graphics, and display solutions, is seeking a skilled Trainer & Documentation Specialist to join our team in Columbus, Ohio.Key Responsibilities:Develop and lead training programs for employees, focusing on IPC-related topics and other general...


  • Columbus, Ohio, United States Diverse Lynx Full time

    We are seeking a highly skilled Senior Documentation Specialist to join our team at Diverse Lynx LLC. As a key member of our IT department, you will play a crucial role in the development and implementation of accurate and up-to-date documentation.Key responsibilities include collaborating with IT teams and stakeholders to gather and validate requirements...


  • Columbus, Ohio, United States Ohio State University Wexner Medical Center Full time

    Job SummaryThe Ohio State University Wexner Medical Center is seeking a highly skilled and experienced Manager of Inpatient Coding and Clinical Documentation Integrity Services to join our team. As a key member of our coding and clinical documentation integrity team, you will be responsible for managing systems and operations for efficient coding of...


  • Columbus, Ohio, United States MILLENNIUMSOFT Full time

    Job Summary:MILLENNIUMSOFT is seeking a highly organized and detail-oriented Document Control Specialist to join our team. The successful candidate will be responsible for preparing Design History Files (DHF) for scanning, archiving, and secure storage, as well as maintaining inventory spreadsheets and securing storage of files.Key Responsibilities:Prepare...


  • Columbus, Ohio, United States Blue Star Partners LLC Full time

    Job OverviewBlue Star Partners LLC is seeking a skilled Documentation Specialist to join our team. As a key member of our organization, you will be responsible for preparing, editing, and maintaining various types of documentation, including reports, technical documents, records, and correspondence.Key Responsibilities:Prepare and edit documentation to...


  • Columbus, Ohio, United States Cyborgwave Full time

    Job DescriptionCyborgwave is seeking a skilled Technical Documentation Specialist to join our team. The ideal candidate will have experience in defining and creating process documentation, maintaining document libraries, and developing business processes.The successful candidate will be responsible for understanding and providing documentation for projects...


  • Columbus, Ohio, United States MILLENNIUMSOFT Full time

    Clinical Laboratory Specialist Job DescriptionWe are seeking a highly skilled Clinical Laboratory Specialist to join our team at Millenniumsoft. As a Clinical Laboratory Specialist, you will play a critical role in the design, evaluation, and execution of clinical laboratory studies and complaint testing.Key Responsibilities:Manage clinical laboratory...


  • Columbus, Ohio, United States MILLENNIUMSOFT Full time

    Job Title: Clinical Laboratory SpecialistWe are seeking a highly skilled Clinical Laboratory Specialist to join our team at Millenniumsoft. As a Clinical Laboratory Specialist, you will be responsible for managing clinical laboratory studies and complaint testing through various clinical testing methods.Key Responsibilities:Apply laboratory knowledge to...


  • Columbus, Ohio, United States LSI Industries Full time

    Job SummaryLSI Industries is seeking a highly skilled Trainer and Documentation Specialist to join our team in Columbus, Ohio. As a key member of our organization, you will be responsible for organizing and leading our training program, planning and scheduling IPC-related trainings, and maintaining employee training records.Key Responsibilities Plan and...


  • Columbus, Ohio, United States MILLENNIUMSOFT Full time

    About the JobMILLENNIUMSOFT is seeking a highly skilled Clinical Lab Specialist to join our team. As a Clinical Lab Specialist, you will be responsible for managing clinical laboratory studies and complaint testing through a variety of clinical testing methods.Key Responsibilities:Apply laboratory knowledge to manage complaint testing through design of...


  • Columbus, Ohio, United States OBGYN Specialist of Columbus Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Medical Office Coordinator to join our team at OBGYN Specialist of Columbus. The successful candidate will provide administrative support to our clinical staff, ensuring seamless day-to-day operations and exceptional patient care.Key ResponsibilitiesAssist physicians and physician assistants in...