Clinical Documentation Specialist Job at Emerson Hospital (Concord)

Clinical Documentation Coordinator

We are looking for a Clinical Documentation Coordinator for full-time permanent ...

Location

United States , Las Vegas

Salary:

39.00 - 60.00 USD / Hour

Dynamic Computing Services

Expiration Date

Until further notice

Requirements

Valid license by the State of Nevada to practice as a Registered Nurse and one of the following, Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist-Outpatient (CCDS-O) or Certified Document Improvement Practitioner (CDIP)
An international medical graduate degree and one of the following: Certified Document Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist-Outpatient (CCDS-O)
Certification in one of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA), issued by the American Health Information Management Association, Certified Professional Coder (CPC), Certified Professional Coder-Physician-based (CPC-P), AND one of the following: Certified Document Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist-Outpatient (CCDS-O)
Knowledge of: Medicare reimbursement system and coding structures
hospital policies and procedures
Joint Commission Accredited Health care Organizations standards, state statutes governing hospital services and health care, Medicare/Medicaid guidelines and other relevant regulations and standards
clinical medical and nursing procedures
disease processes
department and hospital safety practices and principles
patient rights

Job Responsibility

Responsible for improving the overall quality and completeness of clinical documentation
Facilitates modifications to clinical documentation through extensive interactions with physicians, nursing staff, other members of the health care team and Health Information Management (HIM) coding staff to ensure that appropriate reimbursement and clinical severity is captured for the level of service rendered to all patients with a DRG based payer

Fulltime

Senior Clinical Application Specialist

Looking for an exciting challenge? A change in pace using your Rad Tech skill to...

Location

Egypt , Cairo

Salary:

Not provided

PaxeraHealth

Expiration Date

Until further notice

Requirements

Excellent English Language
Experience as a radiology technologist or in similar clinical role
A deep understanding of medical imaging and the challenges faced by professionals in this industry
A Bachelor’s degree in Radiology, Biomedical Engineering or similar field
Strong presentation skills with sales ability
Ability to absorb and convey highly technical information
A hands-on and customer-centric approach
Must be able to travel to demonstrate to clients and to trade shows on occasion
Good time management skills and ability to prioritize tasks
Ability to work as part of a team

Job Responsibility

Serve as a software expert to clients and internal team members
Conduct webinars and workshops to demonstrate and provide technical expertise, support and training to clients as it relates to PaxeraHealth applications remotely and on-site
Create presentations, videos and other training materials as required for webinars, workshops and training sessions
Interfaces between clients/potential clients and company development team, skillfully forwarding pertinent suggestions and ideas to development for inclusion in future enhancements of software
Participate in the product development process
Develop and manage software documentation and technical support content including user manuals video-based tutorials and training tools
Attend conferences and exhibitions, meet with clients and demonstrate PaxeraHealth medical imaging solutions
Help with the product setup process as well as provide product presentations to customers and visitors during trade shows
Work together with technical teams and user groups to solve clients’ problems with available technology including hardware, software, databases and peripherals

Fulltime

Clinical Documentation Specialist RN

Improves the overall quality and completeness of clinical documentation by perfo...

Location

United States

Salary:

38.20 - 57.30 USD / Hour

Advocate Aurora Health

Expiration Date

Until further notice

Requirements

Graduate from an accredited school of nursing
BSN
5 years relevant clinical experience
Current nursing license in the State of Illinois
Ability to prioritize work
Excellent communication skills
Good problem solving skills
Critical thinking skills
Basic Computer skills
Effective problem-solver with good interpersonal communication skills, verbal and written

Job Responsibility

Improves the overall quality and completeness of clinical documentation by performing chart reviews using clinical documentation guidelines based on accepted standards, evidenced based practice, and current regulatory requirements
Communicates with appropriate healthcare team members to ensure accurate and complete documentation is in the medical record
Conducts follow-up reviews of clinical documentation to ensure points of clarification and agreed upon documentation have been recorded in the patient’s chart
Identifies the most appropriate principal diagnosis and complications including date to accurately reflect clinical acuity and risk of mortality in compliance with government regulations
Reviews clinical issues with coding staff to assign a working DRG, follows up with physicians if appropriate
Provide daily clinical evaluation of the medical record including physician and clinical documentation, lab results, diagnostic information and treatment plan
Confers with physicians, face to face or via clinical documentation inquiry forms, regarding missing, unclear or conflicting medical record documentation to clarify the information, obtain needed documentation, present opportunities, and educate for appropriate identification of severity of illness
Responsible for the day-to-day evaluation of documentation by the Medical Staff and healthcare team in accordance with the hospital’s designated clinical documentation policies and procedures
Gather and analyze information pertinent to documentation findings and outcomes
Educates all internal customers on clinical documentation opportunities, coding and reimbursement issues, as well as performance improvement strategies

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Client Partner – CDI Specialist

Looking for a new challenge in your coding career? Join our Manila office as a q...

Location

Philippines , Manila

Salary:

Not provided

Access Healthcare LLC

Expiration Date

Until further notice

Requirements

Working knowledge of medical business office procedures and basic accounting
Fluent in English speaking and possess basic computer knowledge
Available to work in night shifts
Graduate with bachelor’s degree in nursing
2 to 3 years of work experience in nursing
Certification in Clinical Documentation Improvement (CDI) Coding

Job Responsibility

Study inpatient records and determine their authenticity
Review patients’ documentation to determine diagnosis, co-morbidities, and complications
Verify that each code assigned is accurate and correlates to the condition and diagnosis provided in the source document
Serve as a resource for coding related queries after verifying authenticity of inquirer
Ascertain that quality and integrity of coding including accurate determination of principle diagnosis, secondary diagnosis, and PCS codes
Responsible for reviewing patient medical records in the inpatient setting to capture accurate illustration of the severity of illness and facilitate proper coding
Facilitate appropriate coding that reflects the severity of the patient’s illness along with expected risk of mortality and complexity of care required
Documentation of discharge diagnoses and co-morbidities is a comprehensive reflection of the patient’s clinical status and care
Use advanced knowledge of disease processes (pathophysiology), medications, and have critical thinking skills to analyze current documentation to identify gaps
Recognize opportunities in concurrent and retrospective inpatient clinical medical documentation to support quality and effective coding

What we offer

We will provide free training on the client’s medical billing software to perform this role

Fulltime

Clinical Documentation Specialist-RN

This role will facilitate the modifications of clinical documentation through ex...

Location

United States , Chicago

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Graduate from an accredited school of nursing
BSN
5 years relevant clinical experience (For associates in process level 25013 5 years relevant pediatric clinical experience)
Clinical documentation improvement experience preferred
Ability to prioritize work
Excellent communication skills
Good problem solving skills
Critical thinking skills
Basic Computer skills
Effective problem~solver with good interpersonal communication skills verbal and written

Job Responsibility

Facilitate the modifications of clinical documentation through extensive initial and concurrent interaction with physicians and other members of the healthcare team to support appropriate documentation of the clinical severity and risk of mortality is captured for the level of services rendered to select inpatients populations
Supports timely accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes and provides education to all members of the health care team on an ongoing basis
Improves the overall quality and completeness of clinical documentation by performing chart reviews using clinical documentation guidelines based on accepted standards evidenced based practice and current regulatory requirements
Educates all internal customers on clinical documentation opportunities

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

42.80 - 66.34 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) required
Minimum of three (3) years of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10- CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Fulltime

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

42.80 - 66.34 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) required
Minimum of three (3) years of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10- CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Fulltime

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

42.80 - 66.34 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) required
Minimum of three (3) years of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10- CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Fulltime

Clinical Documentation Specialist

Emerson Hospital

Location:
United States , Concord

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
April 11, 2026

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Location:United States , Concord

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Job Description:

Job Responsibility:

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Additional Information:

Job Posted:April 11, 2026

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Location:
United States , Concord

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Job Posted:
April 11, 2026