• Clinical Documentation

    UNC Health Care (Chapel Hill, NC)
    …Management, Nursing or related field. * Successful completion of the Clinical Documentation Specialist Proficiency Test. **Licensure/Certification ... communities we serve. Summary: This positon trains and audits Inpatient and Outpatient Clinical Documentation Specialists (CDS) across all HCS entities that are… more
    UNC Health Care (04/29/25)
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  • Clinical Documentation Integrity…

    AdventHealth (Altamonte Springs, FL)
    …Manager, and in collaboration with physicians, nursing and HIM coders, the Clinical Documentation Specialist (CDS) strategically facilitates and ... staff and collaborates with them to resolves discrepancies with DRG assignments and other coding issues. . Completes well-timed...at the time of graduation and . CCDS (Certified Clinical Documentation Specialist ) certification, or/and… more
    AdventHealth (06/11/25)
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  • RN - Registered Nurse - Senior Clinical

    Geisinger (Danville, PA)
    …Candidates must also currently hold one of the following certifications- Certified Clinical Documentation Specialist (CCDS) or Certified Documentation ... of care of the patient. The role of the Clinical Documentation Improvement Specialist (CDIS)...principal diagnosis, relevant secondary diagnoses, and procedures for accurate DRG assignment, risk of mortality, severity of illness Formulates… more
    Geisinger (06/19/25)
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  • HIM Retrospective Clinical

    Penn Medicine (Philadelphia, PA)
    …Market Street Hours: M-F 8a-4:30p, Remote The Health Information Management (HIM) Clinical Documentation Specialist will oversee organization-wide system for ... Nursing and/or HIM or related field. 1+ years of Clinical Documentation Improvement (CDI) Specialist ...or CCS Required Skills and Abilities Strong knowledge of MS- DRG 's and medical record documentation requirements are… more
    Penn Medicine (06/17/25)
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  • Clinical Documentation

    Ascension Health (Zionsville, IN)
    …current or previous inpatient Clinical Documentation Integrity or Clinical Documentation Specialist experience. Candidates with previous inpatient ... DRG and other information are entered in the Clinical Documentation Improvement database. + Initiate and...or more of the following required: + Certified Coding Specialist (CCS) credentialed from the American Health Information Management… more
    Ascension Health (07/22/25)
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  • Clinical Documentation

    Queen's Health System (Honolulu, HI)
    …Registered Nurse. * Bachelor's degree in Nursing. * Current certification as a Certified Clinical Documentation Specialist (CCDS) by the Association of ... * Responsible for assisting in the overall quality and completeness of clinical documentation throughout The Queen's Health Systems, through concurrent medical… more
    Queen's Health System (07/10/25)
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  • Clinical Documentation

    Northwell Health (Lake Success, NY)
    **Req Number** 154362 Job Description Facilitates and obtains appropriate clinical documentation for all clinical conditions or procedures to support the ... or conflicting documentation . Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical… more
    Northwell Health (07/14/25)
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  • Documentation Specialist | 40 hours…

    Great River Health (West Burlington, IA)
    …OverviewCDI are responsible for improving overall quality and completeness of clinical documentation by inpatient providers. CDI facilitates modifications to ... the patient care team on an ongoing basis regarding clinical documentation .What you will do + ...mix, secondary diagnosis, impact of procedures on the final DRG , and an ability to impact this knowledge to… more
    Great River Health (06/25/25)
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  • RN - Senior Clinical Documentation

    Sanford Health (Bemidji, MN)
    …& Dynamic Team: Work alongside a knowledgeable, supportive, and forward-thinking clinical documentation team that values collaboration and continuous ... focus on improving patient outcomes through accurate and complete clinical documentation . Career Development Opportunities: Access professional development… more
    Sanford Health (07/22/25)
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  • Clinical Documentation

    St. Mary's Healthcare (Amsterdam, NY)
    …the working DRG and other information are entered in the Clinical Documentation Improvement database. * Initiates and maintains extensive interactions with ... One or more of the following: * Certified Coding Specialist (CCS) credentialed from the American Health Information Management...prior to hire date or job transfer date. * Clinical Documentation Prof. credentialed from the Association… more
    St. Mary's Healthcare (07/23/25)
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