29,501 clinical documentation jobs at 5,542 companies in United States

2w
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Clinical Documentation Specialist
Quincy, Illinois, United States
$63k-$95k/yr OnsiteFull Time
Duly Health and Care
Duly Health and Care: Physician-led multi-specialty group providing comprehensive medical care
2+ YOERequire clinical background with documentation/improvement experience, knowledge of ICD-10/CMS/risk adjustment, strong analytics and communication; RN license or comparable clinical background and CPC/CRC preferred.
Electronic Medical Records (EMR), Microsoft Office
1mo
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Analyst, Clinical Documentation
Georgetown or Versailles
OnsiteFull Time
Spring View Hospital
Spring View Hospital: Community hospital providing acute care and specialty medical services.
2+ YOETwo+ years in medical coding; clinical documentation improvement (CDI) experience; AHIMA credentials preferred; bachelor's degree preferred; knowledge of ICD-10 coding.
2d
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Clinical Documentation Manager
Murfreesboro, Tennessee, United States
OnsiteFull Time
Ascension
Ascension: Nonprofit Catholic health system providing hospital and medical care.
2+ YOERequires one of CCS,RHIA,RHIT,CPC,Clinical Documentation Professional,or RN credential; education pathway with 2–7 years experience; leadership experience preferred.
1mo
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Clinical Documentation Specialist
Alabama or Florida or Georgia or Louisiana or Mississippi or North Carolina or South Carolina or Tennessee or Texas
RemoteFull Time
Singing River Health System
Singing River Health System: Community-owned healthcare system operating hospitals and medical clinics.
2+ YOEImproving clinical documentation, liaising with clinicians and coding staff, analyzing patient records for documentation gaps; RN with 2+ years acute care experience or coder with 2+ years inpatient ICD coding experience; relevant AHIMA/AAPC certifications or CCDS preferred; de-escalation training required.
ICD-9 CM, ICD-10 CM, ICD-10 PCS, AHA Coding Clinic, Microsoft Outlook, Microsoft Word
2w
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Clinical Documentation Specialist
Oklahoma City, Oklahoma, United States
HybridFull Time
INTEGRIS Health
INTEGRIS Health: Operates hospitals and specialized medical centers across Oklahoma.
3+ YOERN or RHIT or RHIA or CCS with 3 years relevant experience required; preferred 5 years acute care coding with DRG background; knowledge of coding guidelines and clinical documentation improvement.
4d
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Clinical Documentation Specialist
Chicago, Illinois, United States
$110k-$130k/yr RemoteFull Time
Clarity Partners
Clarity Partners: Management and technology consulting for public and non-profit sectors.
1+ YOERequire CCDS or CDIP credential, 1+ year concurrent inpatient clinical documentation experience; RHIA/RHIT/CCS or RN preferred; experience with acute care concurrent review and physician query processes.
1mo
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Clinical Documentation Specialist
Saint Joseph, Missouri, United States
HybridFull Time
Mosaic Life Care
Mosaic Life Care: Provides comprehensive hospital and clinical healthcare services.
3+ YOEAssociate's degree in nursing required, active RN licensure, 3+ years ICU/critical care experience, CCDS or CDIP required within 2 years, experience with clinical documentation, coding (ICD-10/DRG) and chart review.
ACDIS, ICD-10-CM/PCS, DRG, clinical documentation integrity system
1w
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Clinical Documentation Specialist
Lake Success, New York, United States
$78k-$130k/yr OnsitePer Diem
Northwell Health: Provides clinical healthcare services through a hospital network.
1+ YOERegistered nurse in New York required; knowledge of ICD-10, MS-DRG/APR grouper logic; 1+ years clinical documentation or nursing experience; BLS/CCDS/CCS as needed; strong communication and chart review skills.
1mo
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CLINICAL DOCUMENTATION COORD
West Palm Beach, Florida, United States
OnsiteFull Time
Universal Health Services
Universal Health ServicesNYSE: UHS: Operates acute care hospitals and behavioral health facilities.
2+ YOERN, MD, RHIA/RHIT, or CCS credential; CDI certification (CCDS or CDIP) or obtain within 1 year; minimum 2 years CDI acute-care experience; strong clinical documentation, coding, and physician engagement skills.
1d
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Clinical Documentation Specialist
Boca Raton, Florida, United States
$45-$57/hr OnsiteFull Time
Omega Healthcare
Omega Healthcare: Providing technology-enabled revenue cycle management for healthcare organizations.
5+ YOEActive RN with Bachelor's in Nursing, 5 years acute care clinical experience, 2 years CDI experience, ICD-10/DRG knowledge, strong communication and documentation skills, CCDS/CDIP to be obtained within one year.
3M (Solventum) Software, Epic Software, Microsoft Excel, Microsoft Office, Microsoft Word, Teams & OneDrive
3w
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Clinical Documentation Specialist
Nyack, New York, United States
$53-$59/hr HybridPart Time
Montefiore Nyack Hospital
Montefiore Nyack Hospital: A community acute care medical and surgical hospital.
Current New York RN license required, CDI experience with med/surg clinical background preferred, strong communication and analytical skills, ability to perform documentation audits and educate clinicians, proficiency with Excel/Word/PowerPoint, EPIC and 3M.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, 3M, EPIC
1mo
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Clinical Documentation Specialist
Chicago, Illinois, United States
$70k-$85k/yr OnsiteFull Time
Community First Medical Center
Community First Medical Center: Provides acute care hospital and emergency medical services.
2+ YOERequires RN (Illinois) or HIM credentials (RHIT/RHIA). Clinical documentation or utilization review experience (2+ yrs) with acute care/coding background; knowledge of MS-DRG, EMR, Epic, and Microsoft Office; strong writing and critical-thinking skills.
Electronic Medical Record (EMR), Microsoft Word, Microsoft Outlook, EPIC
1w
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Clinical Documentation Specialist
United States or Lynchburg
$74k-$124k/yr RemoteFull Time
Guidehouse
Guidehouse: Provides management and technology consulting services to diverse organizations.
4+ YOEBachelor's degree and clinical background (RN/MD/MBBS), 4+ years direct inpatient clinical care, 2+ years CDI experience, strong clinical knowledge, critical thinking, and proficiency with EHR/CDI/encoder tools.
EHR systems, CDI software systems, encoders
2w
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Clinical Documentation Specialist
Arkansas or California or Kentucky or Massachusetts or Nevada or New Mexico or Oregon or Utah or Tennessee or Texas or Wyoming
RemoteFull Time
Quorum Health
Quorum Health: Operates a network of community-focused acute care hospitals.
2+ YOEMust perform concurrent and retrospective inpatient record reviews, submit compliant queries, use clinical reasoning and coding knowledge; 2+ years acute care/clinical/coding/HIM/CDI experience preferred; proficiency with EMR and Microsoft apps; relevant clinical or coding credentials required/considered.
EMR, Microsoft
5d
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Clinical Documentation Specialist RN
Libertyville, Illinois, United States
$38-$57/hr HybridFull Time
Advocate Health
Advocate Health: Provides integrated clinical care through a network of hospitals.
5+ YOEActive RN licensure, BSN degree, ~5 years relevant clinical experience, CDI and ICD-10/DRG expertise preferred; strong clinical documentation, education, and analytic skills.
3w
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Clinical Documentation Specialist-RN
Pasadena, Texas, United States
OnsiteFull Time
CommonSpirit Health
CommonSpirit Health: Large non-profit healthcare system providing hospital and medical services.
5+ YOEActive RN license, graduate of accredited nursing program, 5 years adult acute care experience, strong communication and clinical documentation skills, able to educate clinicians on documentation.
Compliant Documentation Management Program (CDMP)
1mo
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Claims Clinical Documentation Reviewer
Phoenix or Arizona
$68k-$71k/yr RemoteFull Time
State of Arizona
State of Arizona: Provides public administration and social services for Arizona residents.
2+ YOEReview clinical and supportive documentation for prepayment claims across medical and behavioral health, apply Medicaid/Medicare rules, conduct audits, provide technical assistance, and participate in provider on-site reviews; requires 2+ years clinical/programmatic experience.
Prepaid Medical Management Information System (PMMIS), EHR, HIE, Microsoft, Google Suite
2mo
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Clinical Documentation Specialist
Watertown, South Dakota, United States
HybridFull Time
Prairie Lakes Healthcare System
Prairie Lakes Healthcare System: Independent non-profit healthcare system serving northeastern South Dakota.
3+ YOERN license with BSN; 3 years clinical nursing; SD licensure; CCDS/C-CDI preferred; case management experience.
1mo
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Nurse Clinical Documentation Specialist
Paterson or New Jersey
$55-$77/hr HybridFull Time
St. Joseph's Health
St. Joseph's Health: Provides comprehensive hospital care and specialized clinical health services.
3+ YOEBachelor's in Nursing required (Master's preferred), 3-5 years clinical experience in Med/Surg, ICU, ED, or PACU. RN required; CCDS, CDIP, or CCS required within two years of hire. Strong clinical documentation and communication skills.
2mo
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Clinical Documentation Specialist, Second Reviewer
United States
RemoteFull Time
SSM Health
SSM Health: Provide medical services through hospitals and outpatient clinics.
CCDS certification or equivalent clinical licensure; nursing/PA/MD background; experience in clinical documentation and acute care; ability to review and improve documentation and risk adjustment.