clinical documentation

Description Join St. Francis–Emory Healthcare, a 376-bed community-connected hospital in Columbus, GA, that blends cutting-edge care with hometown purpose. As part of the ScionHealth network, St. Francis has been recognized and awarded multiple high-performing honors by U.S. News & World Report, and received multiple disease-specific certifications from...

Your future role at a glance Location: Remote Facility: Saint Thomas Health Department: Clinical Documentation Schedule: Full-time | Days How you’ll make an impact in this roleCompletes admission reviews and assigns a working Diagnosis Related Group. Ensures the working DRG and other information are entered in the Clinical Documentation Improvement...

Clinical Documentation Specialist (CDS Nurse)Are you an RN with at least 5 years of recent inpatient clinical experience? Are you looking to take your career in a new direction? The Clinical Documentation Specialist Nurse position may be just what you are looking for! Join the Thompson Team!Schedule: Monday through FridayThis position is remote with...

The Mount Sinai Health System seeks a Project Manager to support CAPC’s Clinical Education team in developing online educational tools for clinicians nationwide. You will coordinate virtual events, courses, and learning pathways, working with faculty and CAPC staff to meet CE/CME requirements and deadlines. Ideal candidates have a background in project...

Clinical Documentation SpecialistThe Clinical Documentation Specialist (CDS) is responsible for planning, coordinating and providing education to faculty, APPs, and house officers related to clinical documentation improvement and clinical revenue optimization for the Department of Otolaryngology Head and Neck Surgery and the UMMG.Apply knowledge of medical...

OverviewJOB SUMMARYThe Clinical Documentation Integrity (CDI) Specialist reviews medical records to identify opportunities to clarify diagnoses and clinical conditions. The CDI Specialist collaborates with providers, coders, and other healthcare team members to ensure accurate documentation that supports compliant reimbursement, quality reporting, regulatory...

Role Overview Meet CDI program objectives, goals, and balance scorecard metrics. Ensures timely, accurate, and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes. Ensure effective communications with key stakeholders. Analyzes data, creates reports to meet desired outcomes. Identifies trends and...

At the forefront of the staffing industry, Artech is a minority and women-owned business enterprise (MWBE) committed to maximizing global workforce solutions on behalf of its clients. Artech's deep heritage, proven expertise and insightful market intelligence has secured long-term partnerships with Fortune 500 and government clients seeking world-class...

WellBe Senior Medical offers remote, clinician-led documentation audit and education services focused on risk adjustment and accuracy. The role requires evaluating medical records for accurate diagnoses and delivering feedback to providers to improve documentation quality. The successful candidate will perform risk-based audits of high-risk conditions and...

About the role We're hiring an experienced Clinical Documentation Specialist to join our Clinical Documentation Integrity (CDI) team. You'll use your critical care or medical-surgical nursing background to review charts concurrently and send clear, compliant queries to providers. Your work helps the medical record accurately show how sick patients are and...

Provider-Centered. Patient-Focused. Built For What Healthcare Should Be. At Bookmark Medical, we are building a healthcare experience rooted in trust, teamwork, compassion, and continuous progress. We believe the best care happens when providers and care teams have the support, technology, and resources they need to focus on what matters...

Prime Healthcare is seeking a Clinical Documentation Specialist (CDS) to perform concurrent and retrospective reviews of inpatient medical records. You will ensure documentation reflects quality of care and aligns with reimbursement requirements, collaborating with physicians and hospital staff. Responsibilities include evaluating inpatient admission...

Our Cambridge based client is seeking a detail-oriented TMF Manager to ensure their Trial Master Files (TMFs) are inspection-ready and aligned with ICH GCP and GDP standards. You’ll support internal teams and CROs in maintaining high-quality documentation across clinical studies. Key Responsibilities: Manage clinical document quality, control, and...

Clinical Documentation SpecialistThe Clinical Documentation Specialist (CDS) is responsible for planning, coordinating and providing education to faculty, APPs, and house officers related to clinical documentation improvement and clinical revenue optimization for the Department of Otolaryngology Head and Neck Surgery and the UMMG. Apply knowledge of medical...

Job Description The Clinical Documentation Auditor will identify areas of improvement to fully, compliantly, and accurately reflect patient acuity through DRG assignment, severity of illness, risk of mortality and risk adjustment factors via primarily in-depth retrospective (post-discharge, prebill) audit of the patient's clinical record and related findings...

Solventum is seeking a Clinical Documentation Specialist (CDI) to review inpatient records, ensure quality documentation, and support accurate DRG assignment. The role collaborates with physicians and coding staff, maintains high accuracy, and participates in education and improvement initiatives. Requires RN license with a bachelor’s degree and 7 years...

Accountabilities: Prepare and manage subject files throughout clinical projects, including reviewing templates, checking documentation accuracy, meeting deadlines, and incorporating client feedback. Create electronic clinical documentation forms and prepare source documentation using Microsoft Excel and other relevant tools. Convert raw clinical study data...

About the Role: The Clinical Documentation Specialist plays a critical role in ensuring the accuracy, completeness, and quality of clinical documentation within healthcare settings. This position focuses on reviewing medical records, collaborating with healthcare providers, and facilitating the documentation process to support optimal patient care and...

SummaryReviews medical records to facilitate the accurate representation of severity of illness and complexity of care provided. Performs extensive record review interacting with physicians HIM professionals and nursing staff.EducationEssential:AssociateMaster'sDoctorateEducation specialization:Essential:in a Nursing Program from an Accredited School of...

## Clinical Documentation SpecialistApplylocations: 70 Dubois Streettime type: Full timeposted on: Posted 2 Days Agojob requisition id: JR231406**City/State:**Newburgh, New York**Department:**Health Information Management & Clin Doc**Work Shift:**Day**Work Days:**MON-FRI**Scheduled Hours:**8 AM-4 PM**Scheduled Daily Hours:**7.5 HOURS**Pay...