29,501 clinical documentation jobs at 5,542 companies in United States
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Clinical Documentation Specialist
Quincy, Illinois, United States
$63k-$95k/yrOnsiteFull Time
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
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.
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: 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
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.
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.
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
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.
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
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
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
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.
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: 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.
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.
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
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.
Clinical Documentation Specialist, Second Reviewer
United States
RemoteFull Time
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.