- Veterans Affairs, Veterans Health Administration (Fort Meade, SD)
- …Language Proficiency. Must be proficient in spoken & written English. Medical Records Technician (Clinical Documentation Improvement Specialist (CDIS-Outpatient ... Health Care System. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital...for reviewing the overall quality and completeness of clinical documentation . Inpatient CDI focuses on the concurrent review of… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …Responsibilities Major Duties: Reviews overall quality & completeness of clinical documentation . Applies comprehensive knowledge of medical terminology, anatomy ... in the electronic patient health record. Searches patient health record to find documentation justifying code assignment. Queries the medical staff as necessary… more
- Veterans Affairs, Veterans Health Administration (Shreveport, LA)
- Summary The Medical Records Technician (Clinical Documentation Improvement Specialist (CDIS - Inpatient) position is located in the Health Information Management ... criteria must be met when determining the grade of candidates. Medical Records Technician (Clinical Documentation Improvement Specialist (CDIS-Inpatient)), GS-9:… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …and reflect the true health status of patients. Develops and/or updates medical center policy pertaining to clinical documentation improvement. Serves as ... standards and improvement techniques, including accurate and ethical documentation practices. Applies comprehensive knowledge of medical terminology,… more
- Mohawk Valley Health System (Utica, NY)
- … terminology, clinical procedures, and healthcare regulations to evaluate and validate medical documentation . The CDI Specialist I ensures documentation ... years of experience in an inpatient coding, RN or documentation role. + Comprehensive understanding of medical ...or documentation role. + Comprehensive understanding of medical terminology, patient care, and clinical procedures. + Strong… more
- Sutter Health (San Francisco, CA)
- …matters regarding physician practice patterns, over- and under-utilization of resources, medical necessity, documentation best practices, level of care ... Improvement) professional, HIM (Health Information Management ) ,and the hospital's medical staff to facilitate accurate and complete documentation for coding… more
- Access Dubuque (Dubuque, IA)
- …consultant. Facilitates the overall quality, completeness, accuracy and integrity of medical record documentation through extensive record review. Through ... physicians and other members of the healthcare team, achieves appropriate clinical documentation to support code assignment, medical necessity, severity of… more
- LifePoint Health (Martinsville, VA)
- …physicians, case managers, coders and other health care team members, the Clinical Documentation Specialist, will strive to ensure comprehensive medical record ... is a full service, acute-care hospital providing over 22 medical specialties. Among the services we offer are a...to all members of the health care team on documentation guidelines, this position will provide guidance and support,… more
- Trinity Health (Dubuque, IA)
- …consultant. Facilitates the overall quality, completeness, accuracy and integrity of medical record documentation through extensive record review. Through ... physicians and other members of the healthcare team, achieves appropriate clinical documentation to support code assignment, medical necessity, severity of… more
- UTMB Health (Galveston, TX)
- …Responsible for the overall improvement of the quality and accuracy of medical record documentation through interaction with physicians, members of the ... interventions. + Understand the general flow of health information from medical record documentation and discharge, through coding, to billing, and finally to… more
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