• Medical Records Technician-Clinical…

    Veterans Affairs, Veterans Health Administration (Grand Junction, CO)
    …Responsible for reviewing the overall quality and completeness of clinical documentation . Applies comprehensive knowledge of medical terminology, anatomy & ... be substituted for a mastery level certification. GRADE REQUIREMENTS Medical Records Technician (Clinical Documentation Improvement Specialist (CDIS-Outpatient… more
    Veterans Affairs, Veterans Health Administration (11/22/25)
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  • Medical Records Technician (Clinical…

    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 ... Summary MRTs (Coder) are skilled in classifying medical data from patient health records in the...for reviewing the overall quality and completeness of clinical documentation . Inpatient CDI focuses on the concurrent review of… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
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  • Clinical Documentation Improvement (CDI)…

    Crouse Hospital (Syracuse, NY)
    …promoting improvement of substandard performance. + Maintains current knowledge of medical documentation associated rules and guidelines, and provides guidance ... programs. Crouse's Health Information Management team is hiring a Clinical Documentation Improvement (CDI) Manager. Pay Range: $115,000.00 - $135,614.00 / annual… more
    Crouse Hospital (12/12/25)
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  • Registered Nurse (RN) - Clinical…

    MaineGeneral Health (Augusta, ME)
    …partner closely with medical staff to ensure the accuracy and integrity of patient medical documentation . You will play a key part in the timely capture and ... medical record reviews to ensure accurate and specific documentation of diagnoses and procedures. Identifies errors and issues...Collaborates with the coding staff to ensure that the medical record has the necessary documentation to… more
    MaineGeneral Health (11/25/25)
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  • Clinical Documentation Integrity…

    Beth Israel Lahey Health (Burlington, MA)
    …CDI Specialist RN initiates concurrent queries to providers as supported by medical record documentation to improve the accuracy, integrity, and quality ... of patient data, and drive improvement toward quality physician documentation within the body of the medical ...physician documentation within the body of the medical record. The CDI Specialist RN works under the… more
    Beth Israel Lahey Health (10/30/25)
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  • Clinical Documentation Improvement…

    University of Southern California (Arcadia, CA)
    …ICD-10-PCS coding conventions and guidelines and applies to ongoing evaluation of medical record documentation . + Designs and implements in collaboration with ... physician leadership specific tools to support medical record physician documentation . + Facilitates multidisciplinary team in efforts for clinical … more
    University of Southern California (12/12/25)
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  • Ambulatory Certified Coding Specialist / Clinical…

    Trinity Health (Newtown Square, PA)
    …consultant. Facilitates the overall quality, completeness, accuracy, and integrity of medical record documentation through extensive record review. Through ... risk score coding. + Conducts pre and post encounter medical record review coding and documentation for...post encounter medical record review coding and documentation for accuracy and completeness. + Identifies opportunities for… more
    Trinity Health (11/14/25)
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  • Clinical Documentation Specialist (Remote…

    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
    UTMB Health (12/12/25)
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  • Principal Regulatory Technical…

    Oracle (Boise, ID)
    …(risk management) + ISO 13485 + IEC 62304 + SaMD (Software as a Medical Device) documentation + Experience preparing documentation for audits, technical ... Oracle Health Data Intelligence is entering a high-impact phase of **MDR ( Medical Device Regulation)** readiness and **regulatory transformation** . Over the next… more
    Oracle (12/04/25)
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  • CDI Quality Coordinator, Clinical…

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …AHRQ technical specification and CMS reported HAC's with assistance of the Medical Director of Clinical * Documentation Improvement and Physician Liaisons ... Report monthly PSI/HAC data to CDI and Inpatient Coding Manager, CDI Supervisor, Medical Director of Clinical Documentation Improvement and other departments and… more
    Minnesota Visiting Nurse Agency (12/10/25)
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