Clinical Documentation Specialist
2 days ago
We are seeking a highly skilled Clinical Documentation Specialist to join our team at ChristianaCare. As a Clinical Documentation Specialist, you will play a critical role in improving the overall quality and completeness of clinical documentation within the inpatient medical record.
Job Summary:The Clinical Documentation Specialist will be responsible for facilitating modifications to clinical documentation through extensive concurrent interaction with physicians and the coding staff. This position requires a strong understanding of medical terminology, anatomy, physiology, pharmacology, and disease processes, as well as knowledge of ICD and CPT coding nomenclature, UHDDS, and general coding principles.
Key Responsibilities:- Concurrent review of inpatient medical records throughout the patient's hospitalization
- Analyzes clinical status of patient, current treatment and past medical history and identifies potential gaps in physician documentation
- Communicates with physicians or other providers to validate observations and appropriately prompts for documentation, if necessary, either verbally or written
- Demonstrates proficient knowledge of HIMS standards of coding and applies to ongoing evaluation of the medical record documentation
- Identifies patients appropriate for the Hospital Quality Measures and prompts RN and physician for clinical documentation according to the accepted standards
- Educates physicians and other key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record
- Reviews and clarifies clinical issues in the health record with the coding professionals that would support an accurate DRG assignment, severity of illness, and/or risk of mortality
- Identifies trends and/or opportunities to improve clinical documentation
- Presents opportunities and potential solutions to the clinical documentation initiative team
- Attends coding/financial educational programs and regulatory educational programs and updates as necessary to maintain proficient knowledge base
- Bachelor's degree in nursing
- DE RN licensed or RN Compact State License
- Minimum of 3 years recent experience as a Registered Nurse in acute care, adult care setting preferred
- RN experience in Cardiac, Critical Care, Med-Surg, and Oncology experience highly desirable
- Clinical Documentation, Case Management, Performance Improvement, or Inpatient Coding experience highly desirable
- Certified Clinical Documentation Specialist (CCDS) is required in a year after eligibility
This position requires a normal office environment with frequent deadline situations. The ideal candidate will be able to work efficiently independently and well with others on all levels, displaying diplomacy and tact.
We offer a competitive salary and benefits package, including holiday pay, guaranteed hours, continuing education, 403b retirement plan, pet insurance, cancellation protection, wellness and fitness programs, mileage reimbursement, employee assistance programs, medical benefits, dental benefits, vision benefits, and license and certification reimbursement.
-
Clinical Documentation Specialist
2 days ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: RN Clinical Documentation SpecialistChristianaCare is seeking a skilled Registered Nurse (RN) to join our team as a Clinical Documentation Specialist. This role is responsible for improving the overall quality and completeness of clinical documentation within the inpatient medical record.Job Summary:The RN Clinical Documentation Specialist will...
-
Clinical Documentation Specialist
1 week ago
Elk Mills, Maryland, United States JobGet Full timeJob SummaryWe are seeking a skilled Clinical Documentation Specialist to join our team at ChristianaCare. As a key member of our Clinical Documentation Improvement (CDI) team, you will play a critical role in ensuring the accuracy and completeness of patient documentation.The ideal candidate will have a strong background in nursing and clinical...
-
Clinical Documentation Specialist
18 hours ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: RN Clinical Documentation SpecialistWe are seeking a skilled Registered Nurse to improve the quality and completeness of clinical documentation within the inpatient medical record.Job Summary:The RN Clinical Documentation Specialist will facilitate modifications to clinical documentation through concurrent interaction with physicians and the...
-
Clinical Documentation Specialist
1 week ago
Elk Mills, Maryland, United States JobGet Full timeJob SummaryWe are seeking a skilled Clinical Documentation Specialist to join our team at ChristianaCare. As a key member of our Clinical Documentation Improvement (CDI) team, you will play a critical role in ensuring the accuracy and completeness of patient documentation.Key ResponsibilitiesDevelop and implement education programs for CDI specialists and...
-
Clinical Documentation Specialist
2 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob SummaryChristianaCare is seeking a skilled Clinical Documentation Specialist to join our team. As a key member of our Quality Assurance department, you will play a critical role in ensuring the accuracy and completeness of patient documentation.Key ResponsibilitiesParticipate in performance improvement activities to enhance documentation and coding...
-
Clinical Documentation Specialist
2 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob SummaryChristianaCare is seeking a skilled Clinical Documentation Specialist to join our team. As a key member of our Quality Assurance department, you will play a critical role in ensuring the accuracy and completeness of patient documentation.Key ResponsibilitiesParticipate in performance improvement activities to enhance documentation and coding...
-
Clinical Pharmacist Specialist
1 week ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob SummaryWe are seeking a highly skilled Clinical Pharmacist Specialist to join our team at ChristianaCare. In this role, you will be responsible for reviewing, developing, and implementing medication-related order sets, care guidelines, and protocols for Pharmacy Services.Key ResponsibilitiesServe as a subject matter expert for Pharmacy services and acute...
-
Clinical Pharmacist
1 week ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob SummaryWe are seeking a highly skilled Clinical Pharmacy Specialist to join our team at ChristianaCare. As a Clinical Pharmacy Specialist, you will play a critical role in providing exceptional patient care and contributing to the development of our oncology and hematology services.Key ResponsibilitiesCollaborate with interdisciplinary care teams to...
-
Clinical Pharmacist Specialist
2 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeAbout the RoleWe are seeking a highly skilled Clinical Pharmacist Specialist to join our team at ChristianaCare. As a key member of our pharmacy team, you will play a critical role in providing exceptional patient care and contributing to the delivery of high-quality healthcare services.Key ResponsibilitiesPharmaceutical Care: Provide individualized patient...
-
Clinical Pharmacist
7 hours ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: Clinical Pharmacy SpecialistChristianaCare is seeking a highly skilled Clinical Pharmacy Specialist to join our team in Elk Mills, Maryland.Job Summary:We are looking for a talented pharmacist to work in our hematology and oncology department. The ideal candidate will have experience in hospital oncology pharmacy practice and be board certified in...
-
Healthcare Reception Specialist
4 weeks ago
Owings Mills, Maryland, United States Specialist Office Full timeJob OverviewHealthcare Reception Specialist - ENTLocation: Must be willing to travel to various sitesQualifications:Minimum of 1 year of recent experience as a Medical Receptionist in an ENT settingProficient in scheduling appointmentsExperience with insurance verification processesAbility to manage calls on a multi-line phone systemExperience in a...
-
Clinical Pharmacist Specialist
2 days ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob DescriptionChristianaCare is seeking a highly skilled Clinical Pharmacist to join our team in Elk Mills, Maryland.Job Summary:As a Clinical Pharmacist, you will play a critical role in providing exceptional patient care and contributing to the development of our pharmacy services.You will be responsible for reviewing, developing, and implementing...
-
Clinical Pharmacist
1 week ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob SummaryChristianaCare is seeking a highly skilled Clinical Pharmacist to join our team as a Pain Management and Opioid Stewardship Specialist. As a key member of our pharmacy team, you will be responsible for developing and enforcing guidelines, order sets, policies, and procedures related to pain management and opioid stewardship.Key...
-
Nurse Specialist
4 days ago
Elk Mills, Maryland, United States ChristianaCare Full timeSimulation Specialist Job DescriptionChristianaCare is seeking a highly skilled Simulation Specialist to join our team. As a Simulation Specialist, you will be responsible for managing and administering simulation technology and sessions used in the Virtual Education and Simulation (VEST) Center.Key Responsibilities:Facilitate the use of simulation for...
-
Nurse Educator
2 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeJob Title: Registered Nurse - Clinical Documentation Integrity Education SpecialistChristianaCare is seeking a skilled Registered Nurse to join our team as a Clinical Documentation Integrity Education Specialist. This role will play a crucial part in ensuring the accuracy and completeness of inpatient clinical documentation.Key Responsibilities:Develop and...
-
Nurse Specialist
2 days ago
Elk Mills, Maryland, United States ChristianaCare Full timeSimulation Specialist Job DescriptionChristianaCare is seeking a skilled Simulation Specialist to join our team. As a Simulation Specialist, you will be responsible for managing and administering simulation technology and sessions used in the Virtual Education and Simulation (VEST) Center.Key Responsibilities:Facilitate the use of simulation for education,...
-
Clinical Pharmacist
2 weeks ago
Elk Mills, Maryland, United States ChristianaCare Full timeAbout the RoleWe are seeking a highly skilled Clinical Pharmacist to join our team at ChristianaCare. As a key member of our Pharmacy Services department, you will play a critical role in ensuring the safe and effective management of controlled substances.Key ResponsibilitiesCoordinate and manage all aspects of controlled substance inventory, including...
-
Simulation Specialist
7 days ago
Elk Mills, Maryland, United States ChristianaCare Full timeAbout This PositionChristianaCare is seeking a highly skilled Simulation Specialist to join our team. As a Simulation Specialist, you will be responsible for managing and administering simulation technology and sessions used in the Virtual Education and Simulation (VEST) Center.Key responsibilities include:Facilitating the use of simulation for education,...
-
Simulation Specialist
1 week ago
Elk Mills, Maryland, United States JobGet Full timeAbout This PositionWe are seeking a highly skilled Simulation Specialist to join our team at ChristianaCare. As a Simulation Specialist, you will be responsible for managing and administering simulation technology and sessions used in the Virtual Education and Simulation (VEST) Center.Your primary focus will be on facilitating the use of simulation for...
-
Nurse Specialist
1 week ago
Elk Mills, Maryland, United States ChristianaCare Full timeSimulation Specialist Job DescriptionChristianaCare is seeking a Simulation Specialist to manage and administer simulation technology and sessions in the Virtual Education and Simulation (VEST) Center.Responsibilities:Facilitate the use of simulation for education, performance improvement, research, and equipment evaluationMaintain and update simulation...
