- Certified Registered Health Information Administrator (RHIA), or Technician (RHIT), or an associate degree in a health care related discipline with Certified Coding Specialist (CCS) certification, and a minimum of 3 years medical coding experience.
- Registered nurse (or medical school graduate) with a minimum of 3 years inpatient clinical experience, advanced clinical expertise and an extensive knowledge of complex disease processes with broad clinical experience in an inpatient setting.
- Review inpatient admissions in real-time to identify and resolve any missing or incomplete documentation.
- Collaborate effectively with providers, case managers, coders, and other healthcare team members to ensure comprehensive health record documentation reflects accurate clinical information.
- Utilize the hospital's designated clinical documentation system to review records and find opportunities for clarification.
- Communicate with physicians to address missing or unclear documentation through queries and ensure proper documentation of responses.
- Provide education on clinical documentation opportunities to staff and physicians for ongoing improvement.
- Assist coding professionals in obtaining necessary information for accurate coded data assignment.
- Stay updated on coding guidelines and relevant regulatory updates to ensure compliance.
- Bachelor of Science in Nursing (BSN)
- CCDS or CDIP Certification
- One year CDI experience
-
Clinical Documentation Specialist
3 weeks ago
UTMB Health Galveston, United StatesMinimum Qualifications: · •Certified Registered Health Information Administrator (RHIA), or Technician (RHIT), or an associate degree in a health care related discipline with Certified Coding Specialist (CCS) certification, and a minimum of 3 years medical coding experience. · ...
-
Clinical Documentation Specialist
3 weeks ago
University of Texas Medical Branch Galveston, United StatesMinimum Qualifications: · * Certified Registered Health Information Administrator (RHIA), or Technician (RHIT), or an associate degree in a health care related discipline with Certified Coding Specialist (CCS) certification, and a minimum of 3 years medical coding experience. · O ...
-
Clinical Documentation Specialist
3 weeks ago
UTMB Health Galveston, United StatesMinimum Qualifications: · •Certified Registered Health Information Administrator (RHIA), or Technician (RHIT), or an associate degree in a health care related discipline with Certified Coding Specialist (CCS) certification, and a minimum of 3 years medical coding experience. Or · ...
-
Document Control Specialist
1 week ago
Axiom Space Webster, United StatesAxiom Space is building for beyond, guided by the vision of a thriving home in space that benefits every human, everywhere. The leading provider of human spaceflight services and developer of human-rated space infrastructure, Axiom Space operates end-to-end missions to the Intern ...
-
Measurement and Logistics Specialist
2 weeks ago
Vader-Rey Companies Galveston, United StatesMeasurement and Logistics Specialist · $80k- $110k DOE · No sponsorship is available. · Summary: · Join our clients as a Measurement and Logistics Specialist In this crucial role, you will oversee the flow measurement of a crude oil pipeline, ensure the accurate monitoring and me ...
-
LCDC Recovery Counselor/COPSD Specialist
3 days ago
Gulf Coast Center Galveston, United States Full timeMust apply directly at: · Are you seeking a career where you can make a difference? Gulf Coast Center (GCC) recruits people who are committed to compassionate, person-centered service. · Join our team todayINCREASED PAY as of 12/1/23. · Monday-Friday. · 12 Paid Holidays each year ...
-
Mosquito Control Specialist
5 days ago
Mosquito Authority Southeast Houston Galveston, United States Full timeAre you passionate about hard work and committed to improving the lives of others? Do you thrive in a supportive environment and love working outside? Then you are a perfect fit for our team · As a Mosquito Control Specialist at Mosquito Authority, you will use proven mosquito-co ...
-
Behavioral Health Care Coordinator/SPMI
3 weeks ago
UnitedHealth Group Galveston, United StatesAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more resp ...
-
UTMB Health Galveston, United StatesSpecialist, Poison Information I or II, TDH Poison Center (Hybrid) · **Galveston, Texas, United States** · Allied Health · UTMB Health · Requisition # · **_*** This is an open-pooled position. Applicants' education/experience will be considered and the position may be filled at ...
-
University of Texas Medical Branch Galveston, United States* This is an open-pooled position. Applicants' education/experience will be considered and the position may be filled at a lower or higher level, as appropriate.* · This is a HYBRID position, with a minimum of two shifts per week on-site. Those without prior Poison Center experie ...
-
Patient Services Specialist I/II
1 week ago
University of Texas Medical Branch Galveston, United StatesThis is an open-pooled position. Applicants' education/experience will be considered and the position may be filled at a lower or higher level, as appropriate. * · Job Summary: · Patient Service Specialist I - · The Patient Services Specialist I creates a positive patient experie ...
-
Crisis Intervention Specialist
1 day ago
Resource & Crisis Center of Galveston County Galveston, United States Part timeJob Description · Job DescriptionSalary: $17.63 per hour · Crisis Intervention Specialist – Part-time & Floater (PRN) · Residential/Non-Residential · Part-Time / Non-Exempt · Galveston, Texas · Shift Schedule: Monday to Thursday, 5:00pm - 10:00pm and On-Call Friday, 5:00pm - 10 ...
-
Patient Service Supervisor Oncology
5 days ago
University of Texas Medical Branch Galveston, United StatesEDUCATION & EXPERIENCE · Minimum Qualifications: · * Associate degree and three years clerical or customer service experience. An equivalent · combination of education and experience relevant to the role may be considered for this · position. · JOB SUMMARY · The Patient Services ...
-
Patient Service Supervisor Oncology
1 week ago
UTMB Health Galveston, United StatesPatient Service Supervisor Oncology (Galveston) · Galveston, Texas, United States · Business, Managerial & Finance · UTMB Health · Requisition # · EDUCATION & EXPERIENCE · Minimum Qualifications: · • Associate degree and three years clerical or customer service experience. An eq ...
-
Contract Specialist III or IV
2 days ago
TxDOT Galveston, United StatesJob Description - Contract Specialist III or IV · Job Description · Contract Specialist III or IV · - · ( · ) · Position Information · TXDOT's Galveston-Bolivar Ferry operation is looking to hire a safety and team-oriented Contract Specialist who can manage and handle contra ...
-
Licensed Vocational Nurse LVN
6 days ago
O'Mally Management Group Galveston, United StatesAbout Hospitality Health ER · Hospitality Health ER is a freestanding ER with locations in Longview, Tyler and Galveston, TX. We have an immediate need for a Licensed Vocational Nurse (LVN) to join our growing team in Galveston. You will have the opportunity to flourish in your c ...
-
Software Systems Specialist III
1 week ago
University of Texas Medical Branch Galveston, United StatesMinimum Qualifications: · Bachelor's degree or equivalent in a related field and 3 years of related experience. · Job Description: · To provide the technical skills and expertise required in developing and maintaining computer operating system software of the most complex natu ...
-
Supervisory Contract Specialist
3 weeks ago
Department of Defense Galveston, United StatesSummary · About the Position: This Supervisory Contract Specialist is located with the Contracting Division, MEGA Project Branch located in Galveston, TX. · A Relocation Incentive in lieu of PCS MAY be offered, depending on funding availability and management discretion. An Incen ...
-
UTMB Health Galveston, United StatesMinimum Qualifications: · Bachelor's degree in a related field and two years of quality management or process improvement experience. · Job Summary: · Responsible for leading and facilitating process improvement teams by utilizing quality tools and appropriate improvement st ...
-
Software Systems Specialist III
5 days ago
The Little Gym International Inc Galveston, United StatesMinimum Qualifications: · Bachelor's degree or equivalent in a related field and 3 years of related experience. · Job Description : · To provide the technical skills and expertise required in developing and maintaining computer operating system software of the most complex nature ...
Clinical Documentation Specialist - Galveston, United States - UTMB Health
Description
Clinical Documentation Specialist (Remote/Texas Resident) - Clinical Data Management
Company: UTMB Health
Location: Galveston, Texas, United States
Minimum Qualifications:
Or
Licenses, Registrations, or Certifications Required:
RN current license or RHIA/RHIT/CCS (medical school graduates are exempt from this MQ)
And
Must acquire CCDS or CDIP certification within 3 years of hire
Job Summary:
Role Overview: As a Clinical Documentation Specialist, you'll play a vital role in enhancing the quality and accuracy of medical record documentation through close collaboration with physicians, care team members, and coding staff within the hospital.
Responsibilities:
Preferred Qualifications:
Requirements:
Demonstrate strong observation, analytical, problem-solving, verbal, and written communication skills.
Salary Range:
Competitive salary based on experience.
Work Schedule:
Remote position for Texas residents.
Monday to Friday, 8am to 5pm, with occasional flexibility as needed.
Equal Employment Opportunity:
UTMB Health is an equal opportunity employer that values diversity and inclusion. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other protected status. UTMB Health is committed to affirmative action and diversity in its workforce.
