Jobs 1 - 20 out of 232 for Clinical Documentation Specialist

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Clinical Documentation Specialist jobs

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Trinity Health
Clinical Documentation Specialist
Boise, ID, US
Remote
Full-time
about 21 hours ago
The Clinical Documentation Specialist is responsible for reviewing medical records to facilitate the accurate representation of the patient's severity of illness and risk of mortality by improving the quality of the physician's clinical documentation. This involves extensive record review, interacti...
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Corewell Health
Clinical Documentation Specialist
Troy, MI, US
Onsite
Full-time
2 days ago
Identifies factors influencing the complexity and severity of patient diagnoses and procedures. Works collaboratively with providers to ensure overall specificity, accuracy, and completeness of clinical documentation. Utilizes clinical expertise and documentation improvement practices. Provides dail...
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Appalachian Regional Healthcare
Clinical Documentation Specialist
Hazard, KY, US
Onsite
Full-time
3 days ago
Evaluates medical records for compliance with State and Federal regulations, provides consultative services to medical records staff and physicians, reviews patient chart documentation, maintains liaison with various organizations regarding medical records standards, and performs retrospective chart...
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Katalyst Healthcares & Life Sciences
Clinical documentation Specialist
North Chicago, IL, US
Onsite
Full-time
4 days ago
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 ad...
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Trinity Health
Clinical Documentation Specialist
United States
Remote
Full-time
$36.15–$48.88/hour
4 days ago
Support clinical documentation integrity and compliance by reviewing, auditing, and analyzing patient charts. Collaborate with providers and clinical staff to improve documentation quality and support regulatory requirements. Conduct chart audits and documentation reviews to identify gaps and opport...
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Lingraphica
Clinical Documentation Specialist (Temporary & Remote)
Princeton, NJ, US
Remote
Temporary
$50k–$55k/year
about 24 hours ago
The Clinical Documentation Specialist is responsible for obtaining medical documentation from provider offices to complete the sale and secure funding of a Speech Generating Device. This role involves consistent communication with Speech Language Pathologists, Clients, Care Providers, and Prescriber...
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Med Atlantic & Virginia Urology Center PC
Clinical Documentation Specialist - Medical Scribe
23116, Mechanicsville, VA, US
Onsite
Full-time
$15.48–$20.7/hour
1 day ago
Clinical Documentation Specialist / Medical Scribe prepares for patient visits, gathers and documents healthcare data during examinations and treatments under the direction of a physician. Organizes healthcare data using electronic medical records system (EMR) to support clinic workflow and efficien...
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Pyramid Consulting
Clinical Documentation Specialist - Coding
94612, Oakland, CA, US
Remote
Contract
$45–$50/hour
4 days ago
Conduct concurrent medical record reviews within an electronic health record (EHR) environment to ensure accurate and complete documentation. Collaborate with physicians and medical coding staff to identify and clarify additional diagnoses impacting severity of illness and risk of mortality indicato...
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WVU Medicine
Clinical Documentation Specialist-III Inpatient
Pennsylvania, US
Remote
Full-time
2 days ago
Responsible for strategic management of service line integration throughout the system. Capable of focused and second level reviews. Performs independently at the highest level of expectation. Assists Manager on specific projects as assigned. Assists CDI Manager in the planning, execution, and deliv...
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IMCS Group
Registered Nurse/Clinical Documentation Specialist
97005, Beaverton, OR, US
Remote
Part-time
4 days ago
The MCO Clinical Reviewer is accountable for utilization management activities including evaluation of appropriateness and medical justification of health services for MCO eligibles. Responsibilities include researching, developing, and communicating implementation of Medical Policies, providing med...
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IMCS Group
Registered Nurse/Clinical Documentation Specialist
91356, Los Angeles, CA, US
Onsite
Full-time
4 days ago
Ensure timely intake, investigation, documentation, and response to CMS-defined grievances. Provide clinical oversight of event reporting, triage, and escalation. Facilitate and monitor RCAs and FMEAs, including corrective action plans. Support regulatory inquiries, complaint investigations, and sur...
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Odyssey House
Behavioral Health Clinical Documentation Specialist (BHCDS)
84111, Salt Lake City, UT, US
Onsite
Full-time
$57k–$57k/year
3 days ago
The Behavioral Health Clinical Documentation Specialist is responsible for developing the factual biopsychosocial record used by licensed clinicians for diagnostic assessment, medical necessity, and treatment planning. Duties include conducting structured interviews, documenting client-reported hist...
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St. Joseph's Health
Nurse Clinical Documentation Specialist
Paterson, NJ, US
Onsite
Full-time
8 days ago
Facilitates improvement in the overall quality, completeness and accuracy of medical records documentation. Reviews and recommends opportunities for documentation improvement through extensive record review. Obtains appropriate clinical documentation through extensive interaction with physicians, pa...
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St.-Joseph
Nurse Clinical Documentation Specialist
Paterson, NJ, US
Hybrid
Full-time
9 days ago
The Clinical Documentation Specialist facilitates improvement in the overall quality, completeness and accuracy of medical records documentation. Reviews and recommends opportunities for documentation improvement through extensive record review. Obtains appropriate clinical documentation through ext...
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Carenest Health Services
Registered Nurse - Clinical Documentation Specialist
Los Angeles, CA, US
Onsite
Full-time
7 days ago
Ensure timely intake, investigation, documentation, and response to CMS-defined grievances. Provide clinical oversight of event reporting, triage, and escalation. Facilitate and monitor RCAs and FMEAs, including corrective action plans. Support regulatory inquiries, complaint investigations, and sur...
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Ensemble Health Partners
RN Clinical Documentation Specialist - Referrals
Putnam, CT, US
Onsite
Full-time
$80k–$80k/year
8 days ago
The CDI Specialist facilitates and obtains appropriate physician documentation for any patient clinical condition or procedure to support the appropriate severity of illness, expected risk of mortality, and complexity of care as documented in patient medical records. Responsibilities include complet...
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MaineGeneral Health
Registered Nurse (RN) - Clinical Documentation Specialist, 40 hours/week
Augusta, ME, US
Onsite
Full-time
$38–$66.5/hour
1 day ago
Conducts concurrent and retrospective medical record reviews to ensure accurate and specific documentation of diagnoses and procedures. Identifies errors and issues related to coding and documentation. Collaborates with the coding staff to ensure that the medical record has the necessary documentati...
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Trinity Health
Clinical Documentation Specialist
13203, Syracuse, NY, US
Onsite
Full-time
$36.15–$48.88/hour
15 days ago
Utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator and consultant. Facilitates the overall quality, completeness, accuracy and integrity of medical record documentation through extensive record revi...
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St.-Joseph
Clinical Documentation Specialist
13203, Syracuse, NY, US
Onsite
Full-time
$36.15–$48.88/hour
16 days ago
Utilizes advanced clinical and coding expertise to ensure the integrity of clinical documentation through reviewing, educating, and consulting. Facilitates quality, completeness, accuracy, and integrity of medical record documentation through extensive record review and interaction with healthcare t...
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Johns Hopkins Medicine
Clinical Documentation Specialist
Baltimore, MD, US
$45.28–$74.76/hour
17 days ago
Lead and support strategic Clinical Documentation Improvement (CDI) initiatives to enhance the accuracy, quality, and compliance of clinical documentation. Collaborate with physicians, nurses, coders, IT, and leadership to identify documentation gaps, implement solutions, and optimize electronic hea...
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