• 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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  • 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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  • Clinical Documentation Specialist-Remote

    Trinity Health (Columbus, OH)
    …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
    Trinity Health (12/09/25)
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  • Clinical Documentation Specialist RN

    Hackensack Meridian Health (Red Bank, NJ)
    …RN** facilitates improvement in the overall quality, completeness and accuracy of medical record documentation for assigned hospital/s of Hackensack Meridian ... documentation completeness and compliance with patient status. Facilitates accurate documentation for severity of illness and medical necessity. Interacts… more
    Hackensack Meridian Health (12/05/25)
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  • Clinical Documentation Specialist

    Sanford Health (Sioux Falls, SD)
    …sooner when proficient in job role. Role will consist primarily of reviewing medical record documentation for adult patient population. Opportunity to work with ... case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment, decisions, and… more
    Sanford Health (11/26/25)
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  • Clinical Documentation Specialist II- RN-…

    Beth Israel Lahey Health (Charlestown, MA)
    …CDI Specialist II 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 II works under the… more
    Beth Israel Lahey Health (11/21/25)
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