Clinical Documentation Specialist

4 weeks ago


Virginia Beach, Virginia, United States Sentara Healthcare Full time
Job Summary

The Clinical Documentation Specialist is a highly knowledgeable RN who is responsible for concurrent review of provider in-patient medical record documentation. Reviews include new admissions to the facility, as well as follow up reviews in subsequent days, until discharge. Responsible for facilitation of modifications to clinical documentation through concurrent interaction with providers, and other members of the healthcare team, to ensure that appropriate clinical severity of illness and risk of mortality is captured for the level of service rendered. The CDS is responsible for communicating to providers to ensure timely and accurate documentation and then utilizing specific software, to code the documentation utilizing ICD-10 codes. Additionally, the CDS provides education and training as needed with the medical staff. The CDS utilizes coding and clinical expertise to identify opportunities and ensure the accuracy and completeness of clinical documentation in the medical record used for measuring and reporting physician/provider hospital outcome.

Requirements:

Minimum of 5 years RN - Acute Care experience in Medical/Surgical or ICU. All Registered Nurses who do not have their BSN will be required to sign a BSN Agreement committing to successfully obtain their BSN within 5 years of hire. RN Diploma, Associate or degree required.

Benefits:

Sentara Healthcare offers a comprehensive benefits package, including medical, dental, and vision insurance, life insurance, disability, and voluntary benefits. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.

About Sentara Healthcare:

Sentara Healthcare is a tobacco-free environment and is committed to diversity and inclusion. Our vision is that everyone brings the strengths that come with diversity to work with them every day. When we are achieving our vision, we have team members that feel they belong and can be their authentic selves, and our workforce is reflective of the communities we serve. We are realizing this vision through our Diversity and Inclusion strategy, which has three pillars: A diverse and talented workforce, an inclusive and supportive workplace, and outreach and engagement with our community. We have made remarkable strides in these areas over the past several years and, as our world continues to evolve, we know our work is never done. Our strategies focus on both structural inclusion, which looks at our organizational structures, processes, and practices; as well as behavioral inclusion, which evaluates our mindsets, skillsets, and relationships. Together, these strategies are moving our organization forward in an environment that fosters a culture of mutual respect and belonging for all.

  • Virginia Beach, Virginia, United States Sentara Healthcare Full time

    Job Title: Clinical Documentation Improvement Specialist RNWe are seeking a highly skilled and knowledgeable Registered Nurse to join our team as a Clinical Documentation Improvement Specialist RN. This role is responsible for reviewing and improving the accuracy and completeness of clinical documentation in patient medical records.Key...


  • Virginia Beach, Virginia, United States American Systems Full time

    Job Title: Naval Engineering Documentation SpecialistWe are seeking an experienced Engineering Documentation Technician with an active Secret clearance to support the US Navy. As a Naval Engineering Documentation Specialist, you will provide innovative solutions to complex problems and work with a team of driven, supportive and highly skilled...


  • Virginia Beach, Virginia, United States destinationone Consulting Full time

    Destinationone ConsultingWe are a leading recruitment agency specializing in diverse sectors, including Healthcare, Health Tech, Government, Municipalities, NonProfits, Legal, and Public Accounting. Our goal is to connect professionals with suitable opportunities in these fields.Job Title: Clinical Nurse SpecialistAs a Clinical Nurse Specialist, you will...


  • Virginia Beach, Virginia, United States Maxim Healthcare Services Full time

    Clinical Operations Specialist Job DescriptionMaxim Healthcare Services is seeking a highly skilled Clinical Operations Specialist to join our team. As a key member of our clinical operations team, you will be responsible for facilitating and improving the day-to-day clinical operations within our offices.Key Responsibilities:Participate in new hire clinical...


  • Virginia Beach, Virginia, United States Livanta Full time

    Job SummaryThe Document Processing Clerk securely stores documents and retrieves archived materials upon request. Key Responsibilities* Examines and provides quality control (QC) of the imaged documents received and screens images using review criteria. * Performs quality control functions on imaged documents. * Ensures that documents entered and uploaded...


  • Virginia Beach, Virginia, United States Maxim Healthcare Full time

    Clinical Operations SpecialistMaxim Healthcare Services is seeking a highly skilled and experienced Clinical Operations Specialist to join our team. This role is responsible for facilitating and improving the day-to-day clinical operations within our offices.Key Responsibilities:Participate in new hire clinical reviews and facilitate clinical orientation and...


  • Virginia Beach, Virginia, United States GMA Interventions Full time

    Job SummaryAs a Clinical Services Specialist with GMA Interventions, you will provide high-level clinical services to adult clients with mental health, co-occurring, and substance use disorders. Your expertise will be utilized to provide phone triage, short-term assessments, crisis intervention, and group, individual, and family counseling. Additionally, you...


  • Virginia Beach, Virginia, United States destinationone Consulting Full time

    Job Opportunitydestinationone Consulting is a leading recruitment agency specializing in diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, and more. We are proactively building a database of opportunities in these fields. By applying, you ensure our recruiters can quickly match you with...


  • Virginia Beach, Virginia, United States Haemonetics Full time

    Job SummaryWe are seeking a highly skilled Clinical Specialist to join our team at Haemonetics. As a Clinical Specialist, you will be responsible for driving the utilization and expansion of our TEG product line at existing customer sites within a defined territory.Key Responsibilities- Function as a Clinical Advisor to customers, providing clinical...


  • Virginia Beach, Virginia, United States Universal Health Services Full time

    Job SummaryWe are seeking a highly skilled and compassionate Clinical Mental Health Specialist to join our team at Virginia Beach Psychiatric Center. As a key member of our Assessment and Referral team, you will be responsible for providing mental health crisis triage, assessment, and intervention services to individuals in need.Key ResponsibilitiesProvide...


  • Virginia Beach, Virginia, United States City of Virginia Beach Full time

    Job SummaryThe City of Virginia Beach is seeking a highly qualified Behavioral Health Clinical Oversight Specialist to join our team. As a senior clinician and team leader, you will oversee clinical operations, provide direct services, and ensure quality care for adults with serious mental health and/or substance use disorders.Key ResponsibilitiesLead a...


  • Virginia Beach, Virginia, United States City of Virginia Beach Full time

    We are seeking a highly qualified Behavioral Health Clinical Oversight Specialist to join our team at the City of Virginia Beach.This role will be a critical part of our Behavioral Health Case Management Unit, overseeing clinical operations, providing direct services, and ensuring quality care.The ideal candidate will have experience providing clinical...

  • Physical Therapist

    4 weeks ago


    Virginia Beach, Virginia, United States Potomac Healthcare Solutions Full time

    Job Title: Physical Therapist - Orthopedic SpecialistPotomac Healthcare Solutions is seeking a highly skilled Physical Therapist to join our team. As an Orthopedic Specialist, you will provide therapeutic procedures and services to support patient referrals from various specialties.Key Responsibilities:Provide safe and timely patient careDevelop realistic...


  • Virginia Beach, Virginia, United States Livanta Full time

    Job SummaryWe are seeking a skilled Clinical Utilization Review Coordinator to join our team at Livanta LLC. As a key member of our Appeals Team, you will play a critical role in supporting physician reviewers and communicating with Medicare beneficiaries, healthcare providers, and other partners.Key ResponsibilitiesPerform desktop medical reviews and...


  • Virginia Beach, Virginia, United States KA Recruiting Inc. Full time

    Cytogenetic Laboratory Specialist - A Rewarding Career OpportunityJob Responsibilities:Conduct laboratory tests, interpret results, document and report findings, and maintain equipment and instruments.Utilize critical thinking skills and demonstrate knowledge of chromosome disorders.Job Requirements:Certification as a Cytogenetics Technologist with the...


  • Virginia Beach, Virginia, United States Urology Of Va Full time

    We are seeking a highly skilled Urology Oncology Specialist to join our team at Urology of Virginia. Our clinical care team consists of board-certified Urologists and 30+ Advanced Practice Providers, working in a team-based environment to help patients optimize their urological health.As a Urology Oncology Specialist, you will manage all aspects of urologic...


  • Virginia Beach, Virginia, United States Sentara Full time

    Job SummaryWe are seeking a compassionate and skilled Spiritual Care Specialist to provide spiritual support and care to patients, families, and staff at Sentara Hospitals in Norfolk and Virginia Beach, VA.Key Responsibilities:Provide spiritual care and support to patients, families, and staffCollaborate with multidisciplinary teams to facilitate...


  • Virginia Beach, Virginia, United States Inova Full time

    Join Inova's Team of Healthcare ProfessionalsWe are seeking a skilled Diagnostic Imaging Specialist to join our team at Inova, Northern Virginia's leading nonprofit healthcare provider. As a Diagnostic Imaging Specialist, you will play a critical role in delivering world-class healthcare to our patients.Key Responsibilities:Communicate effectively with...


  • Virginia Beach, Virginia, United States Seven Summits Family Services LLC Full time

    Job SummaryWe are seeking a highly skilled and compassionate Mental Health Specialist to join our team at Seven Summits Family Services LLC. As a key member of our clinical staff, you will provide intensive services to client families, utilizing short-term, solution-focused treatment strategies to promote positive change and growth.Key...

  • Clinical Therapist

    4 weeks ago


    Virginia Beach, Virginia, United States Up Center Full time

    About The Up CenterThe Up Center is a leading child and family services agency in Hampton Roads, with a rich history dating back to 1883. Our organization has evolved over the years to meet the changing needs of our community, and we continue to respond to the needs of our communities through prevention, intervention, and support services.Our MissionWe are...