305 clinical documentation specialist entry level jobs at 212 companies in United States
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Clinical Documentation Specialist
Quincy, Illinois, United States
$63k-$95k/yr OnsiteFull Time
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
2mo
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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
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
1mo
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Clinical Documentation Specialist
Chicago, Illinois, United States
$110k-$130k/yr RemoteFull Time
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
Lake Success, New York, United States
$78k-$130k/yr OnsitePer Diem
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 Specialist
Clyde, North Carolina, United States
OnsiteFull Time
1+ YOEReview inpatient medical records, identify documentation gaps, develop compliant physician queries, provide education, and support documentation improvement; HS diploma and 1+ year healthcare experience required; preferred credentials include RHIT/RHIA/CCS(-P)/RN/LPN.
1w
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Clinical Documentation Specialist
Seattle, Washington, United States
RemoteFull Time
2+ YOERequires an RN license, 2 years of clinical RN experience, 1 year of home health RN experience, OASIS review proficiency, and 3 months of EMR experience. OASIS certification and review experience preferred.
Electronic Medical Record (EMR), Microsoft Outlook, Microsoft Excel, Microsoft Word, Microsoft PowerPoint
3w
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Clinical Documentation Specialist
Lakewood, Colorado, United States
$36-$60/hr OnsiteFull Time
2+ YOENursing diploma or associate degree, valid RN license, and 2 years of inpatient hospital nursing experience or 2 years nursing plus 1 year CDI experience. Clinical and CDI competency exams required.
Electronic Health Record, Nuance, CDEOne
2w
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Clinical Documentation Specialist II
Phoenix, Arizona, United States
$36-$56/hr RemoteFull Time
2+ YOERequires 2–5 years of clinical documentation experience and one credential: RN, RHIA, RHIT, CCS, CIC, MD, DO, PA, or NP. Strong coding, communication, computer, and critical-thinking skills required.
ICD-10-CM, MSDRGs, Microsoft Office
5d
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Clinical Documentation Specialist - Second Reviewer
Illinois or Missouri or Oklahoma or Wisconsin
RemoteFull Time
2+ YOERequires nursing, physician assistant, nurse practitioner, or medical education; 2 years acute-care and clinical documentation experience, or 4 years clinical documentation experience with CCDS certification.
Electronic Health Record (EHR), Diagnosis Related Group (DRG)
1w
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Inpatient Clinical Documentation Specialist II
Kentucky, United States
RemoteFull Time
2+ YOEAssociate degree in nursing, registered nurse licensure, and 2+ years of related paid experience. Requires expertise in clinical documentation, coding, chart review, and documentation integrity.
1w
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Clinical Documentation Improvement Specialist
United States
RemoteFull Time
2+ YOERequires 2+ years in clinical documentation improvement, medical coding, documentation review, or related healthcare work; knowledge of medical records, terminology, coding, reimbursement, and provider communication.
ICD-10-CM, CPT, HCC, Epic, Athena, eClinicalWorks, EMR
3w
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Clinical Documentation Specialist
Bronx, New York, United States
$110k-$112k/yr OnsiteFull Time
1+ YOERequires an MD, foreign medical graduate or accredited-program student status, at least 1 year of patient-care experience, Microsoft Office skills, strong communication, attention to detail, and high-volume teamwork.
Microsoft Office
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Clinical Documentation Specialist
Salisbury, Maryland, United States
$81k-$125k/yr HybridFull Time
1+ YOEBSN or equivalent CDI experience; active RN license; CCDS or CDIP required; 1+ year inpatient coding/CDI experience; BLS/ICD-10 knowledge; EMR and Microsoft Office experience.
EMR, Microsoft Office, EPIC, 3m 360/CDI Engage One
1mo
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QA/QC Clinical Documentation Specialist
Texas or Dallas
OnsiteFull Time
2+ YOE2+ years experience in behavioral health or clinical documentation review; working knowledge of HIPAA; familiarity with EHRs; strong attention to detail and communication skills.
EHR, Lauris
3w
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HCC Clinical Documentation Specialist
United States
RemoteFull Time
2+ YOERequires 2+ years of ambulatory CDI, risk adjustment, or healthcare documentation experience, an active LPN or RN license, coding and HCC expertise, and Epic workflow proficiency preferred.
Epic, OurPractice Advisories (OPAs), Microsoft Office, email, VPNs, virtual machines, two-factor authentication, Microsoft Teams, Zoom
3w
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Clinical Documentation Improvement Specialist
Philadelphia, Pennsylvania, United States
RemoteFull Time
2+ YOEBachelor's degree in nursing, health information management, or related healthcare field. CCDS preferred, with relevant clinical documentation or coding experience, Medicare and coding knowledge, analytical skills, and English communication ability.
Epic EHR, 3M DRG, Microsoft Office, Microsoft Office applications, CDI software tracking tool
3w
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RN Clinical Documentation Specialist Senior-Full Time
Lynchburg, Virginia, United States
$37-$53/hr RemoteFull Time
2+ YOEVirginia or compact-state RN license, 2+ years of CDI specialist experience, 95% CDI competency assessment accuracy, clinical expertise, communication skills, and proficiency with PCs and Microsoft Office.
Microsoft Office, 3M, PowerChart, Cerner, Microsoft PCs
4d
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RN Clinical Documentation Improvement Specialist
Binghamton, New York, United States
$37-$56/hr OnsiteFull Time
Requires ASN or nursing diploma, valid or eligible New York RN licensure, clinical documentation and critical thinking skills, coding knowledge, and Excel proficiency. BSN and coding credentials preferred.
Microsoft Excel
1w
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Nurse Clinical Documentation - RN
Wenatchee, Washington, United States
$41-$65/hr HybridPart Time
2+ YOERequires two years of acute care experience, Washington RN or multistate licensure, BLS/CPR, clinical knowledge, computer skills, and familiarity with documentation, coding, and regulatory processes.
Microsoft software programs, ICD-10
1mo
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Clinical Documentation Improvement Specialist RN
Odessa, Texas, United States
OnsiteFull Time
1+ YOECurrent Texas RN, LVN, or applicable license; 1+ year acute care clinical experience; strong clinical knowledge, communication, critical thinking, and computer literacy; ability to perform physician queries and work independently.
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