• Utilization Review Specialist

    BriteLife Recovery (Englewood, NJ)
    What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for ... information and advocating for appropriate levels of care. The UR Specialist works closely with clinical staff, admissions, medical providers, and third-party… more
    BriteLife Recovery (07/03/25)
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  • Clinical Documentation Specialist

    University of Texas Rio Grande Valley (Harlingen, TX)
    Position Information Posting NumberSRGV8237 Working TitleCLINICAL DOCUMENTATION SPECIALIST Number of Vacancies1 LocationHarlingen, Texas DepartmentSchool of ... to ensure accurate physician reimbursement is achieved and claims denials are reduced by ensuring documentation integrity. * Educates...American Academy Professional Coders ( AAPC ), Certified Coding Specialist - P ( CCS - P) from the… more
    University of Texas Rio Grande Valley (06/25/25)
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  • Mgr CDI Quality & Educ / HIM Clinical Document…

    Hartford HealthCare (Farmington, CT)
    …of education and experience in accordance with job responsibilities *Experience* . Minimum: . Registered Nurse ( RN ) with 5 or more years CDS experience ... (HIM) Clinical Documentation Integrity (CDI) quality, audit, education, and denials prevention program consistent with clinical, regulatory, contractual, and… more
    Hartford HealthCare (07/10/25)
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  • Administrator

    UnityPoint Health (West Des Moines, IA)
    …to complete request according to established processes. Seeks necessary clinical direction of RN UM Specialist staff or Manager. + Coordinates appropriate and ... improve accuracy and timeliness + Identifies issues and seeks direction from Manager and/or RN UM Specialist as needed Denial Request Coordination + Serves as… more
    UnityPoint Health (07/21/25)
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  • Director of Care Management

    Children's Mercy Kansas City (Kansas City, MO)
    …Utilization Review, and Performance Improvement Leadership + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required ... Nurse Case Managers, Social Workers, and Utilization Review specialist team members and support staff + Analyzes, evaluates,...upon hire + One of the following: Licensed RN - Kansas, Registered Nurse … more
    Children's Mercy Kansas City (05/31/25)
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  • Clinical Documentation Integrity (CDI) Coordinator…

    Trinity Health (Livonia, MI)
    …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... the CDI quality plan, such as by Clinical Documentation Specialist (CDS), service line, focus area and as otherwise...compliance management as it relates to CDI. Assists with denials management, complex case resolution and may perform CDI… more
    Trinity Health (04/30/25)
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  • Clinical Documentation Integration Team Lead

    AdventHealth (Maitland, FL)
    …to sit for the exam + Current FL Registered Nurse ( RN ) License + Certified Cardiac Device Specialist (CCDS) + International medical graduates (IMGs) ... to the team:** + Ensures competency of Clinical Documentation Specialist staff by conducting on-going reviews and skills assessments;...identified gaps pertaining to specified dx, topics, DRGs and denials + Acts as a direct contact for the… more
    AdventHealth (07/02/25)
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  • Clinical Documentation Integrity Team Lead…

    AdventHealth (Tampa, FL)
    …youll need to succeed:** Associate's of Nursing Required. 1 years Related Experience Required Registered Nurse ( RN ) current FL Required CCDS - Certified ... **ue youll bring to the team:** Ensures competency of Clinical Documentation Specialist staff by conducting on-going reviews and skills assessments; provides action… more
    AdventHealth (07/15/25)
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  • Supervisor, Clinical Documentation Integrity (CDI…

    Trinity Health (Livonia, MI)
    …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... within their region. Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator. Working with the Regional… more
    Trinity Health (06/09/25)
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  • Director, Clinical Documentation Improvement…

    Rochester Regional Health (Rochester, NY)
    …experience preferred. + Experience with EPIC preferred. EDUCATION: BS LICENSES / CERTIFICATIONS: RN - Registered Nurse - New York State Education ... in various system committees and work groups, including billing, revenue cycle, denials , and others as assigned. + Ensure effective staffing levels by evaluating… more
    Rochester Regional Health (07/04/25)
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