Clinical Documentation Improvement Specialist
7 days ago
At UnitedHealth Group, we are committed to helping people live healthier lives and making the health system work better for everyone. As a Clinical Documentation Improvement Specialist, you will play a critical role in ensuring the accuracy and completeness of clinical documentation, which is essential for delivering high-quality care and improving health outcomes.
Key Responsibilities:- Provide expert-level review of inpatient clinical records to identify gaps in clinical documentation and ensure accuracy and completeness.
- Collaborate with providers and other healthcare team members to improve clinical documentation and ensure that it accurately reflects the clinical treatment, decisions, and diagnoses for patients.
- Utilize clinical expertise and clinical documentation improvement practices to ensure compliance with regulatory requirements and best practices.
- Develop and implement physician education strategies to improve clinical documentation and ensure that providers understand the importance of accurate and complete documentation.
- Work closely with the HIM Coding Professionals to ensure that clinical documentation is accurate and complete, and that coding and CDI processes are aligned.
- 5+ years of acute care hospital clinical RN experience or Medical Graduate with CDI experience and CDI certification (CCDS, CDIP).
- Experience communicating and working closely with physicians.
- Proficiency using a PC in a Windows environment, including Microsoft Word, Excel, PowerPoint, and Electronic Medical Records.
- Ability to work onsite at a hospital location in San Luis Obispo, CA, full-time (Monday - Friday) in a daily patient and physician-facing capacity.
- BSN degree if RN.
- CCDS, CDIP, or CCS certification.
- Experience in Clinical Documentation Improvement.
- CAC experience (Computer-Assisted Coding).
UnitedHealth Group offers a comprehensive benefits package, including a competitive salary, incentive and recognition programs, equity stock purchase, and 401(k) contribution. We are an equal employment opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
-
San Luis Obispo, California, United States UnitedHealth Group Full timeJob Title: Clinical Documentation Improvement SpecialistAt UnitedHealth Group, we are committed to helping people live healthier lives and making the health system work better for everyone. We believe that everyone deserves the opportunity to live their healthiest life, regardless of their background or circumstances.About the Role:We are seeking a highly...
-
Clinical Document Improvement Specialist RN
1 month ago
San Francisco, California, United States ALOIS Healthcare Full timeJoin ALOIS Healthcare as a Clinical Document Improvement Specialist RNWe are seeking a skilled Clinical Document Improvement Specialist RN to join our team. As a Clinical Document Improvement Specialist RN, you will play a crucial role in ensuring the accuracy and compliance of clinical documentation in our healthcare facilities.Key Responsibilities:Analyze...
-
Clinical Document Improvement Specialist RN
1 month ago
San Francisco, California, United States ALOIS Healthcare Full timeJob Title: Clinical Document Improvement Specialist RNA clinical document improvement specialist RN is needed to assess medical records and documents for compliance with industry regulations. The ideal candidate will analyze medical information to assist healthcare providers, ensure the accuracy of clinical documentation, and train staff on recordkeeping...
-
Clinical Document Improvement Specialist RN
1 month ago
San Francisco, California, United States ALOIS Healthcare Full timeJob Title: Clinical Document Improvement Specialist RNALOIS Healthcare is seeking a skilled Clinical Document Improvement Specialist RN to join their team.About the RoleThe successful candidate will be responsible for assessing medical records and documents for compliance with industry regulations.Key Responsibilities:Analyze medical information to assist...
-
Clinical Document Improvement Specialist RN
4 weeks ago
San Francisco, California, United States ALOIS Healthcare Full timeJob Title: Clinical Document Improvement Specialist RNALOIS Healthcare is seeking a skilled Clinical Document Improvement Specialist RN to join our team in San Francisco, California.About the JobAssess medical records and documents for compliance with industry regulations Analyze medical information to assist healthcare providers Train staff on recordkeeping...
-
San Francisco, California, United States Tact Staff Full timeJob Title: Clinical Document Improvement Specialist Travel NurseTact Staff is seeking a skilled Clinical Document Improvement Specialist to join our team as a travel nurse in a dynamic acute care setting.About the RoleSpecialty: Clinical Document Improvement SpecialistDiscipline: RNDuration: 24 weeksShift: 8 hours, daysEmployment Type: TravelThe ideal...
-
Clinical Documentation Specialist
4 days ago
San Francisco, California, United States Optum Full timeOptum Clinical Documentation Integrity Specialist Job DescriptionAt Optum, we are committed to delivering care and improving health outcomes for millions of people around the world. As a Clinical Documentation Integrity Specialist, you will play a critical role in ensuring the accuracy and completeness of clinical documentation in our inpatient medical...
-
Clinical Documentation Specialist
4 weeks ago
San Francisco, California, United States Talent Software Services Full timeJob Title: Clinical Documentation SpecialistAt Talent Software Services, we are seeking a highly skilled Clinical Documentation Specialist to join our team. As a Clinical Documentation Specialist, you will play a critical role in ensuring the accuracy and completeness of patient medical records.Key Responsibilities:Conduct thorough reviews of patient medical...
-
San Francisco, California, United States Tact Staff Full timeTravel Nursing OpportunityTact Staff is seeking a skilled Clinical Document Improvement Specialist to join our team of travel nurses.Job Summary:We are looking for a dedicated and experienced RN to work as a Clinical Document Improvement Specialist in a complex acute care setting.Responsibilities:Improve the quality and accuracy of clinical...
-
Clinical Documentation Specialist
4 days ago
San Francisco, California, United States Optum Full timeOptum Clinical Documentation Integrity SpecialistOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. Our mission is to help people live healthier lives and make the health system work better for everyone.The Clinical Documentation Integrity Specialist plays a critical role in ensuring the...
-
Clinical Documentation Specialist
3 days ago
San Francisco, California, United States UnitedHealth Group Full timeOptum Clinical Documentation Integrity SpecialistAt UnitedHealth Group, we are committed to helping people live healthier lives and making the health system work better for everyone. As a Clinical Documentation Integrity Specialist, you will play a critical role in ensuring the accuracy and completeness of clinical documentation in the inpatient medical...
-
San Francisco, California, United States Tact Staff Full timeTact Staff is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job.Job Description & RequirementsSpecialty: Clinical Document Improvement SpecialistDiscipline: RNEmployment Type: TravelCDI/Case Manager - At least 2 years of CDI experience in a complex acute care setting.About Tact StaffOur nurses choose Tact assignments...
-
Clinical Documentation Specialist
1 month ago
San Francisco, California, United States Talent Software Services Full timeClinical Documentation Specialist Job Description **Job Summary** Talent Software Services is seeking a skilled Clinical Documentation Specialist to join our team. As a Clinical Documentation Specialist, you will play a critical role in ensuring the accuracy and completeness of patient medical records. **Key Responsibilities** * Conduct thorough reviews...
-
Clinical Documentation Specialist
4 days ago
San Diego, California, United States LADGOV CORPORATION Full timeJob Title: Clinical Documentation Specialist Job Summary: We are seeking a skilled Clinical Documentation Specialist to join our team at LADGOV CORPORATION. As a key member of our healthcare team, you will be responsible for abstracting medical record data, improving the quality and accuracy of medical record documentation, and serving as a technical expert...
-
Clinical Documentation Specialist
3 weeks ago
San Diego, California, United States Ladgov Corporation Full timeJob SummaryLadgov Corporation is seeking a skilled Clinical Documentation Specialist to join our team. As a Clinical Documentation Specialist, you will be responsible for abstracting medical record data, improving the quality and accuracy of medical record documentation, and developing and updating policy memoranda on documentation.Key...
-
Clinical Documentation Specialist
4 days ago
San Diego, California, United States LADGOV CORPORATION Full timeJob Title: Clinical Documentation Specialist Job Summary: We are seeking a skilled Clinical Documentation Specialist to join our team at LADGOV CORPORATION. As a key member of our health information management team, you will play a critical role in ensuring the accuracy and quality of medical record documentation. Key Responsibilities: * Abstract medical...
-
Clinical Documentation Specialist
4 days ago
San Francisco, California, United States Optum Full timeOptum Clinical Documentation Integrity SpecialistOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. Our mission is to improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.The Clinical Documentation Integrity...
-
Clinical Documentation Specialist
3 weeks ago
San Diego, California, United States UC San Diego Health System - Hillcrest Full timeJob Title: Clinical Documentation SpecialistWe are seeking a skilled Clinical Documentation Specialist to join our team at UC San Diego Health System - Hillcrest. As a Clinical Documentation Specialist, you will play a critical role in ensuring the accuracy and completeness of patient medical documentation.Responsibilities:Perform complex reviews of patient...
-
San Francisco, California, United States Shaker for ChristianaCare Direct Full timeJob Summary:Shaker for ChristianaCare Direct is seeking a highly skilled Registered Nurse (RN) to fill the role of Clinical Documentation Integrity Education Specialist. This position will be responsible for supporting the documentation of clinicians and CDI staff to improve the quality, accuracy, and completeness of inpatient clinical documentation.Key...
-
Travel Nurse RN Clinical Document Specialist
4 weeks ago
San Francisco, California, United States ALOIS Healthcare Full timeTravel Nurse RN Clinical Document Improvement Specialist JobALOIS Healthcare is seeking a skilled travel nurse RN Clinical Document Improvement Specialist to join their team.Job SummaryThe ideal candidate will have expertise in clinical documentation and a passion for improving patient care. As a travel nurse RN Clinical Document Improvement Specialist, you...
