• 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 ... 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 (08/08/25)
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  • Clinical Documentation Specialist RN

    Hackensack Meridian Health (Neptune City, NJ)
    …RN** facilitates improvement in the overall quality, completeness and accuracy of medical record documentation for assigned hospital in the northern region ... documentation completeness and compliance with patient status. Facilitates accurate documentation for severity of illness and medical necessity. Interacts… more
    Hackensack Meridian Health (08/09/25)
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  • Coding and Documentation Educator

    AdventHealth (Lees Summit, MO)
    …provider education experience. **The value you'll bring to the team:** + Analyze medical record documentation for HCC accuracy, correct documentation , and ... providers regarding the need for accurate, specific, and complete clinical documentation in the patient's medical record. + Serve as a subject matter expert in… more
    AdventHealth (08/07/25)
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  • RN Clinical Documentation Specialist

    Sanford Health (Fargo, ND)
    …case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment, decisions, and ... related group (DRG). Responsible for the day-to-day evaluation of documentation by the medical staff and healthcare team, and gathers and analyzes information… more
    Sanford Health (08/14/25)
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  • Director Clinical Documentation Integrity

    Tufts Medicine (Burlington, MA)
    …duties: Facilitates improvement in overall quality, completeness, and accuracy of medical record documentation , obtains appropriate clinical documentation ... and leaders. The Director oversees the manager and clinical documentation specialists (CDSs) in planning, implementing improvements, and re-evaluating processes… more
    Tufts Medicine (07/04/25)
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  • Clinical Documentation Specialist Auditor-…

    UNC Health Care (Chapel Hill, NC)
    …Educates CDS, physicians, non-physician clinicians, nurses, and other staff to facilitate documentation within the medical record that reflects the most accurate ... records to identify opportunities for improving the quality of medical record documentation for reimbursement, severity of illness, and risk of mortality.… more
    UNC Health Care (07/29/25)
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  • Clinical Documentation Specialist

    LifePoint Health (Johnstown, PA)
    …physicians, case managers, coders, and other health care team members, the Clinical Documentation Specialist will strive to ensure comprehensive medical record ... patients each year through the Conemaugh Physician Group and Medical Staff, a network of hospitals, specialty clinics, and...to all members of the health care team on documentation guidelines, this position will provide guidance and support,… more
    LifePoint Health (08/09/25)
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  • Clinical Documentation Specialist - Health…

    Hawaii Pacific Health (Lihue, HI)
    Documentation Specialist, you will work to improve the overall quality of medical record documentation to ensure compliance with Medicare and Medicaid (CMS) ... Founded in 1938, Wilcox Medical Center is a not-for-profit medical ...will use both clinical and coding knowledge to obtain documentation through extensive interaction with physicians, nursing, other patient… more
    Hawaii Pacific Health (09/05/25)
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  • Clinical Documentation Integrity Manager-…

    Garnet Health (Middletown, NY)
    …Manager facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation . The Manager will evaluate denials and work ... a CLinical Documnetaion Specialist on our CDI team at/in Garnet Health Medical Center. Responsibilities Under the direction of The Administrator, Coding & Clinical… more
    Garnet Health (09/05/25)
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  • Clinical Documentation Specialist

    Ascension Health (Muskego, WI)
    …**Responsibilities** Facilitate improvement in overall quality, completeness and accuracy of medical record documentation . + Complete admission reviews and ... in the medical record and to resolve physician queries and documentation issues prior to patient's discharge. + Maintain accurate records of review activities,… more
    Ascension Health (09/03/25)
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