• Diagnosis Related Group Clinical Validation…

    Elevance Health (Indianapolis, IN)
    …Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of 5 years of ... with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred. + Broad knowledge of … more
    Elevance Health (12/09/25)
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  • RN Clinical Review Appeals…

    St. Luke's University Health Network (Allentown, PA)
    …of medical conditions as documented in the patient medical record and identify clinical documentation improvement issues and through excellent communication ... for clinical documentation or current program in use for clinical documentation improvement program, AHA Official Coding Guidelines for Coding… more
    St. Luke's University Health Network (10/28/25)
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  • RN , Clinical Document Spec

    University of Rochester (Rochester, NY)
    …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Facilitates clinical documentation improvement through concurrent and ... opportunities with the assistance of computer software. + Conducts clinical documentation improvement efforts through...as assigned. **MINIMUM EDUCATION & EXPERIENCE** + Associate's degree Registered Nurse ( RN ) required +… more
    University of Rochester (12/05/25)
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  • Senior Clinical Doc Specialist

    Kaleida Health (Buffalo, NY)
    improvement initiatives including formal and informal education related to clinical documentation improvement to providers and the team. Oversees ... that require leadership abilities.** **Education And Credentials** Bachelors degree required. Registered Nurse required. Cert. Clinical Doc Specialist… more
    Kaleida Health (10/15/25)
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  • Clinical Documentation Specialist…

    Hackensack Meridian Health (Red Bank, NJ)
    …healthcare and serve as a leader of positive change. The ** Clinical Documentation Specialist RN ** facilitates improvement in the overall quality, ... and Certifications Required:** + Current state Registered Nurse license. + Certified Clinical Documentation Specialist (CCDS) or certification within two… more
    Hackensack Meridian Health (12/05/25)
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  • Utilization Review Analyst - Registered

    Beth Israel Lahey Health (Burlington, MA)
    …medical necessity of the hospital care. Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these specialized ... medical necessity of the hospital care. Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these specialized… more
    Beth Israel Lahey Health (10/30/25)
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  • Middle Revenue Cycle Clinical Supervisor

    Catholic Health (Buffalo, NY)
    …review against a criteria set including but not limited to utilization review, Clinical Documentation Integrity, quality improvement or chart audit/review or ... in conjunction with the Utilization Review Manager and Manager Clinical Documentation Integrity. The Middle Revenue Cycle...EDUCATION + Bachelor of Science Nursing (BSN) degree + Registered Nurse with a current New York… more
    Catholic Health (12/31/25)
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  • RN Care Mgr II

    Covenant Health Inc. (Lenoir City, TN)
    …meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist, as necessary to ensure ... Overview Registered Nurse Care Manager, Quality Management...guidelines and clinical pathways that support quality improvement activities. The RN Care Manager II… more
    Covenant Health Inc. (12/04/25)
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  • RN Care MGR II

    Covenant Health Inc. (Harriman, TN)
    …meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist, as necessary to ensure ... guidelines and clinical pathways that support quality improvement activities. The RN Care Manager II...management services within the scope of practice as a registered nurse meeting all required standards both… more
    Covenant Health Inc. (12/26/25)
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  • RN Care Mgr III

    Covenant Health Inc. (Harriman, TN)
    …will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist + As necessary to ... guidelines and clinical pathways that support quality improvement activities. The RN Care Manager III...management services within the scope of practice as a registered nurse meeting all required standards both… more
    Covenant Health Inc. (12/14/25)
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