clinical documentation

10,000 clinical documentation job listings in United States. Find daily updated positions from leading job boards.


  • San Angelo, Texas, United States Shannon Health Full-time

    DescriptionJob Summary The clinical documentation specialist works collaboratively with providers and coding staff to ensure that the documentation in the medical record accurately reflects the quality and level of care provided. The overall goal of the position is to improve clinical documentation for quality assurance and revenue compliance and...


  • North Chicago, IL, IL, United States Katalyst CRO Full-time

    **Purpose** - The Clinical Document Management Associate II will ensure the Master File is always inspection-ready and complies with ICH GCP guidelines. - This role entails the conduct of rigorous quality checks, ensuring reliable and complete Trial Master File. Collaborate with study teams, providing support to address and resolve issues related to Master...


  • Washington State, Washington State, United States Johns Hopkins Medicine Full-time

    Requisition #:675370 Location:Johns Hopkins Health System, Baltimore, MD 21201 Category:Nursing Schedule:Day Shift Employment Type:Full Time Make it Happen at Hopkins | Join our Team This position will provide general second-level review support to the Pediatric Units Full-Time | 40 hrs/week | Day Shifts | Fully Remote This role focuses on leading and...

  • Supv Clinical Documentation Premium

    3 days ago


    Farmington, Connecticut, United States Hartford Healthcare Full-time

    Work where every moment matters. Every day, over 40,000 Hartford HealthCare colleagues come to work with one thing in common\: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. Position Summary:The Clinical Documentation Integrity Supervisor provides a key role in...

  • Clinical Documentation Auditor Premium

    3 days ago


    Margate, Florida, United States Centers Home Full-time

    Job Description: Clinical Documentation Auditor - CHHA Department: Compliance / Clinical Review / Care Standards Reports To: VP of Clinical Operations Position Summary The Clinical Documentation Auditor is responsible for reviewing clinical documentation across patient charts to ensure accuracy, completeness, and compliance with regulatory, payer, and agency...


  • Hazard, United States Appalachian Regional Healthcare Full-time

    Overview The Documentation Specialist evaluates the medical records to ascertain the degree of documentation compliance with State and Federal regulations; and provides consultative services to the medical records staff, physicians, and other pertinent staff. The Documentation Specialist reports to the System Director, MPAS, Community CEO’s or...


  • 240 Cedar Knolls Road, Illinois, United States Artech Information System Full-time

    Company DescriptionAt 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...


  • Unity Hospital, United States Rochester Regional Health Full-time $78,000 - $96,200 Contract

    Job Title: Clinical Documentation SpecialistDepartment: Clinical Documentation ImprovementLocation: Unity Hospital (Remote)Hours Per Week: 40 hours per weekSchedule: Monday- Friday 8 hr. shifts.SUMMARY:The role facilitates accurate documentation for severity of illness, expected risk of mortality, complexity of care and quality in the medical record....


  • Grand Rapids, Michigan, United States Direct Staffing Full-time

    Company DescriptionHealthcare Job DescriptionCLINICAL DOCUMENTATION SPECIALIST 5+ to 7 years experienceUtilizes advanced knowledge and clinical expertise to direct efforts toward the improvement of clinical documentation through the roles of educator and consultant. Assists with facilitating improvement in the overall quality, completeness, and accuracy...


  • Midland, Texas, United States Midland Health Full-time

    Job Description  *This position is onsite* The Clinical Documentation Improvement Specialist (CDIS) will facilitate the improvement of clinical documentation in the medical record to reflect an accurate level of care and diagnosis forour patients. The CDIS will obtain and promote the appropriate clinical documentation through interaction with...


  • Bronx, New York, United States BronxCare Health System Full-time

    Overview The Clinical Documentation Specialist (CDS) at BronxCare Health System plays a critical role inensuring the accuracy, completeness, and integrity of patient medical records. This position serves as akey liaison between clinical staff, coding professionals, and administrative teams to support highqualitydocumentation that reflects the...


  • Clyde, NC, United States, North Carolina Lifepoint Health Full-time $10 Permanent

    DescriptionYour experience matters  Haywood Regional Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As the Clinical Documentation Specialist, you will review patient...


  • Boca Raton, Florida, United States Omega Healthcare Management Services Full-time

    DescriptionJob Responsibilities: Manages assignments and projects as assigned. Participates in the daily operations and activities of the Clinical Documentation Improvement (CDI) program to continually enhance documentation. Utilizes most current documentation tools available. Regularly and effectively communicates with clinical staff. Collaborates with...


  • SJHSYR-MAINCAMPUS, United States Trinity Health Full-time $36 - $48 Permanent

    Employment Type:Full timeShift:Description:Clinical Documentation Specialist (Fully Remote)• Fully remote position supporting clinical documentation integrity and compliance.• Review, audit, and analyze patient charts to ensure accuracy, completeness, and appropriate documentation.• Collaborate with providers and clinical staff to improve documentation...


  • Las Vegas, Nevada, United States Global Force USA Full-time

    Up t0 $15,000 bonus may apply Position Summary:Responsible for improving the overall quality and completeness of clinical documentation. Facilitates modifications to clinical documentation through extensive interactions with physicians, nursing staff, other members of the health care team and Health Information Management (HIM) coding staff to ensure that...


  • Margate, Florida, United States Centers Home Full-time

    Job Title: Clinical Documentation Specialist (RN/LPN) – Full Time Location: On-site – Staten Island, NY | Valley Stream, NY | Margate, FL Schedule: Monday to Friday, 9:00 AM – 5:00 PM Department: Clinical Reports To: VP of Clinical Operations Company: Revival Home Health Care Position Summary: Revival Home Health Care, a certified and respected home...


  • Hickory, North Carolina, United States Direct Staffing Full-time

    Company DescriptionHospitalJob Description1. Collaborate with physician, physician extender, nurse, case manager, and Health Information Management coder to identify areas for improved physician documentation. 2. Conducts initial and extended-stay concurrent reviews on all selected admissions and documents findings on worksheets, denoting all key information...


  • Lexington, Massachusetts, United States Integrated Resources Full-time

    Company DescriptionA Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every...

  • Clinical Documentation Nurse Premium

    3 days ago


    Silsbee, Texas, United States Paradigm Healthcare Full-time

    Calling all candidates who want to be part of a fun and growing team! Paradigm Healthcare is seeking a motivated LVN/RN to join our team as MDS Coordinator!Job DutiesMaintain the current MDS status of each resident, in accordance with applicable federal and state laws, rules, and regulations as well as the facility’s policies and proceduresSchedule...


  • Bethesda, Maryland, United States Comtech Full-time

    Company DescriptionComtech is a woman-owned small business founded in 1998 and headquartered in Reston, VA. We offer IT solutions across the disciplines of program/project management, applications development, infrastructure, Cyber security, and enterprise content/data management services. We have developed our methodologies and processes based on the IT...