Clinical Documentation Specialist

1 week ago


Rancho Mirage, California, United States Eisenhower Health Full time
Job Title: RN-Clinical Documentation Specialist

Eisenhower Health is seeking a skilled RN-Clinical Documentation Specialist to join our team. As a key member of our clinical documentation improvement team, you will play a vital role in ensuring the accuracy, completeness, and compliance of patient documentation.

Job Summary:

The RN-Clinical Documentation Specialist will work closely with physicians, caregivers, case management, and coding staff to facilitate clinical documentation improvement. This includes providing on-going education and consultation to improve the accuracy, completeness, specificity, and compliance of in-patient acute care medical records.

Key Responsibilities:
  • Conduct concurrent review of medical records to identify areas of documentation requiring clarification of comorbidities, presence of complications, and opportunities to improve documentation from physicians to accurately assign the best DRG.
  • Review 25-35 records in assigned areas within 24 hours or first working day after admission and maintain ongoing record review at least every 48 hours when necessary.
  • Compile data in Midas and maintain monthly and quarterly records of outcomes that reflect improvement in Clinical Documentation Improvement financial performance.
  • Communicate with and work collaboratively with coding personnel to determine outcomes regarding severity/complexity and to assure all opportunities have been pursued before patients' discharge from acute care setting.
  • Educate physicians and staff on Query tool as it relates to quality of documentation in the medical record.
  • Develop and track, in cooperation with the coding department, outcomes related to education and follow-through by physicians regarding accurate complication/comorbidity documentation.
  • Interface with physician champion regarding educational opportunities for specific documentation with physicians identified as needed additional education.
  • Maintain compliance to HIPAA and all other regulations related to patient confidentiality.
  • Educate nursing, ancillary, case management staff, and appropriate committees regarding the Clinical Documentation Improvement process and outcomes.
Requirements:
  • Active California RN license
  • Minimum of 5 years recent clinical nursing experience in an acute care setting
  • Knowledge of MS-DRG methodology and inpatient coding rules and regulations
Working Conditions:

This is a full-time position working in a fast-paced acute care environment. The ideal candidate will have excellent communication and interpersonal skills, with the ability to work effectively in a team environment.



  • Rancho Mirage, California, United States Eisenhower Health Full time

    Job Title: Clinical Documentation SpecialistWe are seeking a highly skilled Clinical Documentation Specialist to join our team at Eisenhower Health. As a Clinical Documentation Specialist, you will play a critical role in ensuring the accuracy and completeness of patient medical records.Job Summary:The Clinical Documentation Specialist will work closely with...


  • Rancho Mirage, California, United States Eisenhower Health Full time

    Job Title: RN-Clinical Documentation SpecialistJob Summary:Eisenhower Health is seeking a skilled RN-Clinical Documentation Specialist to join our team. As a key member of our clinical documentation improvement team, you will play a vital role in ensuring the accuracy, completeness, and timeliness of patient documentation.Key Responsibilities:Conduct...


  • Rancho Mirage, California, United States Palm Careers LLC Full time

    ### Job Title: Clinical Nurse Specialist ### Job Summary: We are seeking an experienced Clinical Nurse Specialist to join our team at our Level II NICU in Palm Springs, CA. As a Clinical Nurse Specialist, you will be responsible for providing expert practice, education, consultation, research, and leadership in the spheres of patient/family/population,...


  • Rancho Mirage, California, United States Palm Careers LLC Full time

    ### Job Title: Clinical Nurse Specialist ### Job Summary: We are seeking an experienced Clinical Nurse Specialist to join our team at a Level II NICU in Palm Springs, CA. As a Clinical Nurse Specialist, you will be responsible for advancing the level of nursing practice through expert practice, education, consultation, research, and leadership in the...


  • Rancho Mirage, California, United States Palm Careers LLC Full time

    Job OpportunityWe are seeking a highly skilled Clinical Nurse Specialist to join our team at a Level II NICU in Palm Springs, CA.About the RoleThis is a challenging and rewarding opportunity for a seasoned Clinical Nurse Specialist to provide expert care to patients and families in a fast-paced NICU environment.ResponsibilitiesProvide high-quality patient...


  • Rancho Mirage, California, United States Eisenhower Health Full time

    Job SummaryWe are seeking a highly skilled Nurse Practitioner Specialist to join our team at Eisenhower Health. As a key member of our multidisciplinary health team, you will provide direct patient care and support to our patients, working within the scope of practice of a Nurse Practitioner (NP).Key ResponsibilitiesAssess the health status of patients by...


  • Rancho Mirage, California, United States Eisenhower Health Full time

    Job SummaryEisenhower Health is seeking a highly skilled Patient Admitting Specialist to join our Cardiothoracic Surgery Clinic team. As a key member of our team, you will be responsible for ensuring that all patients have a seamless and efficient registration experience.Key ResponsibilitiesRegistration and Scheduling: Ensure accurate and comprehensive...


  • Rancho Mirage, California, United States JobRialto Full time

    Job SummaryWe are seeking a dedicated LVN - Travel nurse to join our team at the EDOC Pain Clinic. As a key member of our clinical staff, you will play a vital role in supporting physicians and physician assistants in patient care, while maintaining high standards of patient care and service.Key ResponsibilitiesAssist physicians and physician assistants in...


  • Rancho Mirage, California, United States Eisenhower Health Full time

    Job Title: Clinical DietitianAt Eisenhower Health, we are seeking a highly skilled Clinical Dietitian to join our team at the Renker Wellness Center.About the RoleThis is a challenging and rewarding opportunity to work with patients and healthcare professionals to provide comprehensive nutrition care. As a Clinical Dietitian, you will be responsible for...


  • Rancho Mirage, California, United States Eisenhower Health Full time

    Job SummaryWe are seeking a highly skilled Nurse Practitioner Specialist to join our team at Eisenhower Health. As a key member of our multidisciplinary health team, you will provide direct patient care and support to our patients, working within the scope of practice of a Nurse Practitioner (NP).Key ResponsibilitiesAssess the health status of patients by...

  • Clinical Dietitian

    8 hours ago


    Rancho Mirage, California, United States Eisenhower Health Full time

    Job Title: Clinical DietitianWe are seeking a highly skilled Clinical Dietitian to join our team at Eisenhower Health. As a Clinical Dietitian, you will play a vital role in providing clinical nutrition services to our patients and community members.Job Summary:The Clinical Dietitian will be responsible for assessing the nutritional status of adult and...


  • Rancho Mirage, California, United States Eisenhower Health Full time

    Job SummaryEisenhower Health is seeking a highly organized and detail-oriented Referral Coordinator to join our team. The successful candidate will be responsible for coordinating patient care, managing referral work queues, and ensuring seamless communication between clinics and departments.Key ResponsibilitiesManage clinic EMR referral work queues to...


  • Rancho Mirage, California, United States Eisenhower Health Full time

    Job Title: Clinical Applications AnalystWe are seeking a highly skilled Clinical Applications Analyst to join our team at Eisenhower Health. As a Clinical Applications Analyst, you will be responsible for supporting the core functions of our clinical applications to enable cost-effective, high-quality, efficient, and safe patient care.Key...


  • Rancho Mirage, California, United States BlueHorizon Solutions Full time

    About Our TeamWe are a leading provider of nursing facilities and assisted living services for seniors, with a strong commitment to recognizing foreign professional qualifications.Your RoleAs a nursing assistant, you will play a vital role in supporting and caring for our residents in their daily lives. You will work in a team with specialists to provide...


  • Rancho Mirage, California, United States DREAM BIG CHILDRENS CENTER Full time

    Job Title: Behavioral Leadership SpecialistWe are seeking a highly skilled Behavioral Leadership Specialist to join our team at Dream Big Children's Center. As a key member of our leadership team, you will be responsible for overseeing the clinical operations of our center, ensuring the highest quality of care for our clients.Key Responsibilities:Provide...

  • Travel LPN

    4 weeks ago


    Rancho Mirage, California, United States IDR Healthcare Full time

    Job DetailsJob Title: Travel LPN - ClinicJob Type: TravelLocation: Rancho Mirage, CaliforniaDuration: 13 weeksShift: 8 hours, daysHours per Week: 40About the JobIDR Healthcare is a leading healthcare staffing firm that specializes in providing high-quality healthcare professionals to healthcare facilities across the country.We are seeking a skilled and...

  • Ultrasound Specialist

    2 weeks ago


    Rancho Mirage, California, United States Eisenhower Health Full time

    Job SummaryWe are seeking a highly skilled Ultrasound Tech-Perinatal Specialist to join our team at Eisenhower Health. As a key member of our diagnostic imaging department, you will be responsible for performing high-quality sonographic exams and providing accurate interpretations to aid in patient diagnosis and management.Key ResponsibilitiesPerform...


  • Rancho Mirage, California, United States Eisenhower Health Full time

    Job SummaryWe are seeking a highly skilled Nursing Professional Development Specialist to join our team at Eisenhower Health. This role will be responsible for providing education and training to nursing staff, as well as developing and implementing education programs to support the growth and development of our clinical team.Key ResponsibilitiesEducation...


  • Rancho Mirage, California, United States Integrated Resources Full time

    Job Title: LVN – Licensed Vocational Nurse Location: On Site Duration: 3+ months (Temp-to-hire) Schedule: Mon-Fri 8 am – 5 pm (40 Hrs) Pay Range: $40/hr. on W2 **Job Summary:** The Licensed Vocational Nurse (LVN) will assist the physician or physician assistant in providing high-quality patient care. This role reports to the Clinical Services...


  • Rancho Mirage, California, United States Savas Health Full time

    Job SummaryWe are seeking a highly skilled and compassionate Surgical Coordinator to join our team at Savas Health. As a key member of our clinical operations team, you will play a critical role in ensuring the smooth delivery of patient care and services.Key ResponsibilitiesCare Coordination: Provide exceptional care coordination services to our medically...