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Clinical Documentation Specialist
4 days ago
Community Health System Cleveland, United StatesJob Description · The Clinical Documentation Improvement Specialist (CDIS) implements clinical documentation improvement (CDI) activities in an effort to support accuracy and quality of the patient records at CHS facilities and to ensure that coded diagnoses are an accurate refle ...
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Clinical Documentation Specialist
1 week ago
Tennova Healthcare Cleveland, United StatesThe Clinical Documentation Improvement Specialist (CDIS) implements clinical documentation improvement (CDI) activities in an effort to support accuracy and quality of the patient records at CHS facilities and to ensure that coded diagnoses are an accurate reflection of the patie ...
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Clinical Documentation Specialist
5 days ago
Tennova Healthcare Cleveland, United StatesThe Clinical Documentation Improvement Specialist (CDIS) · implements clinical documentation improvement (CDI) activities in an effort to support accuracy and quality of the patient records at CHS facilities and to ensure that coded diagnoses are an accurate reflection of the pa ...
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Infinity Systems Cross Plains, United StatesCross Plains is looking for a full-time Springer nursing specialist as a documentation officer (m/f/d) at Humboldtplatz 22, 48429 Rheine, Germany. Whether you have professional experience or not, we welcome you to apply. · Do you want to work for the largest nursing home operator ...
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Document Control Specialist
2 weeks ago
Kenco Group Chattanooga, United StatesAbout the Position · The Document Control Specialist will assist corporate and site-level designees in the continuous improvement of the site quality management system (QMS) and ensure that processes and procedures are developed in line with applicable standards and customer req ...
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Document Control Specialist
1 week ago
Conduent State Healthcare, LLC Hamilton, United States OTHERThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to persona ...
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Erlanger Health Chattanooga, United StatesJob Summary: · This licensed professional nurse (RN) works with the Medical Staff to offer documentation education to secure all legitimate DRG opportunities. He/she works within the scope of the HIM Department to provide documentation that best represents the patient's clinical ...
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Intermountain Healthcare Murray, United States Full timeJob Description · :The goal of the Clinical Documentation Specialist-Auditor is to improve the accuracy of the overall clinical picture and the representation of the complexity and severity of illness of patients through improved clinical documentation and diagnostic coding prac ...
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Registration Assistant
2 weeks ago
Gordon-Conwell Theological Seminary South Hamilton, United StatesOverview: · Gordon-Conwell is a multidenominational, protestant graduate school, unique with its broad array of over 1,300 students and 25 faculty and staff from 78 denominations and over 50 countries. We offer a residential model of education at South Hamilton, MA (our main camp ...
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Independent Medical Evaluators
2 weeks ago
MRG Exams Ross, United States Full timeJob Title: Independent Medical Evaluators - Occupational Medicine, Physical Medicine & Rehab, Orthopedists, Psychologists, Psychiatrists. · Location: Ohio (Southern Ohio Preferred) · Company Overview: · MRG Exams is a leading provider of Independent Medical Evaluations (IME) and ...
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Human Resources Specialist
3 weeks ago
Crystal Window & Door Systems Pa, LLC Dalton, United StatesCrystal Window & Door Systems PA, LLC is an award winning manufacturer of a full production line of quality, energy efficient vinyl and aluminum windows for residential and commercial use. We are currently looking for a Human Resources Specialist to join our fast-paced and innova ...
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Him Specialist
2 weeks ago
Conifer Revenue Cycle Solutions Hixson, United States**JOB SUMMARY** · This position is responsible for providing HIM support in maintaining the Department's paper and electronic health record system. The HIM Specialist will have an understanding of privacy and security guidelines related to patient information and maintain HIPAA a ...
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Independent Medical Evaluators
1 week ago
MRG Exams Ross, United States Full timeJob Title: Independent Medical Evaluators - Occupational Medicine, Physical Medicine & Rehab, Orthopedists, · Location: Ohio (Southern Ohio Preferred) · Company Overview: · MRG Exams is a leading provider of Independent Medical Evaluations (IME) and Permanent Partial Impairment R ...
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Cogs Admin Support
3 weeks ago
THE SAFARILAND GROUP Dalton, United StatesTOGETHER, WE SAVE LIVES · OVERVIEW · The Safety, Health, Environmental and Security Specialist is responsible for the implementation and maintenance of Safety, Health, Environmental and Security Programs for the assigned manufacturing facilities. The position is responsible to en ...
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Dual Enrollment Specialist
3 weeks ago
Lee University Cleveland, United StatesThe primary purpose of the Dual Enrollment Specialist is to manage the admissions process for high school students seeking to dual enroll at Lee University, as well as, support efforts to increase access to post-secondary academic courses at Lee University for high school student ...
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Nursing specialist
3 days ago
Nexus Innovations Calhoun, TN, United States FreelanceWe are looking for a **nursing specialist (m/f/d) with additional function as a practical instructor** to join our team at DRK Kreisverband Landkreis Greiz e.V. in Calhoun, TN. · Starting from January 1st, 2023, this position will require a 30-hour or 35-hour work week in the Zeu ...
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Pricing Specialist
6 days ago
Olin Cleveland, United StatesOpen to current Olin employees only · Join our winning team as a Pricing Specialist in Cleveland, TN. Additional locations may include McIntosh, AL or Lake Jackson, TX. The Pricing Specialist role works closely with the commercial organization to ensure price records are entered ...
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Transportation Human Resources Specialist
5 days ago
Tennessee Express, LLC Ooltewah, United States**Company Description** · Tennessee Express, LLC is a professional and experienced provider, understanding the needs and contributing to the success of customers by arranging transportation of their freight with the most reliable transportation methods in the United States, while ...
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Senior Bioprocess Engineer
3 weeks ago
MMR Consulting Bradley, United StatesSenior Bioprocess Engineer · Previous Pharmaceutical/Biotech experience is MANDATORY for this role. · MMR Consulting is an engineering and consulting firm specializing in the pharmaceutical, and biotechnology industries. Its services include Engineering, Project Management, and V ...
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Class A CDL Truck Driver LEASE PURCHASE
1 week ago
Western Express Cleveland, United StatesHAVE YOUR CDL-A? SPEAK WITH A SEATING SPECIALIST TODAY Have you ever dreamed of owning your truck and being your own boss? Come experience the many reasons why Western Express is the best place to live out those dreamsThis program was built for you to succeed, become an owner ope ...
Clinical Documentation Specialist - Cleveland, United States - Community Health System
Description
Job Description
The Clinical Documentation Improvement Specialist (CDIS) implements clinical documentation improvement (CDI) activities in an effort to support accuracy and quality of the patient records at CHS facilities and to ensure that coded diagnoses are an accurate reflection of the patient's clinical status and care.
The role of the CDI specialist involves reviewing the medical record documentation and clinical indicators and working with providers to ensure a complete and accurate medical record.
An accurate medical record is important for the patient, for continuity of care by the next provider, and to demonstrate high quality care by the physician and the hospital.
The CDI Specialist will identify potential gaps in clinical documentation for inpatient and payer populations as directed throughout the hospitalization.
He/she will also educate physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record.
Must possess at least five years of acute hospital nursing experience (e.g. medical/surgical unit, intensive care). Experience in Utilization Management/Case Management, Critical Care, patient outcomes/quality management and/or inpatient coding considered a plus.ICU/Critical Care experience strongly desired.
Prior experience in clinical documentation improvement, ICD coding and MS-DRGs preferred.
Prior experience educating physicians/providers preferred.
Previous experience working in a clinical documentation improvement department or as a consultant strongly encouraged.
Minimum of one-year auditing experience strongly encouraged.
This individual must possess a comprehensive knowledge of medical terminology, disease processes and clinical competency.
Candidate must possess excellent communication (verbal and written), interpersonal, collaboration and relationship-building skills. Strong critical thinking skills and ability to integrate knowledge is necessary. Prioritization and organizational skills required. Must exhibit the ability to educate members of the healthcare team about clinical documentation. Individual must demonstrate data quality and integrity skills.
To perform this job successfully, an individual should have strong working knowledge of word processing software, spreadsheet software and reporting software.
English is required for both verbal and written communication. Ability to communicate effectively at a high level is required
At least one of the following is required: BSN, RN, or comparable clinical degree.
In addition, the following are highly desired: RHIT, RHIA, CDIP, CCDS, CCS and ICD-10 certification or designation.
