• 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 (07/18/25)
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  • Clinical Documentation Specialist - Full…

    Mohawk Valley Health System (Utica, NY)
    … terminology, clinical procedures, and healthcare regulations to evaluate and validate medical documentation . The CDI Specialist I ensures documentation ... years of experience in an inpatient coding, RN or documentation role. + Comprehensive understanding of medical ...or documentation role. + Comprehensive understanding of medical terminology, patient care, and clinical procedures. + Strong… more
    Mohawk Valley Health System (07/08/25)
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  • Clinical Documentation Specialist

    Access Dubuque (Dubuque, IA)
    …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
    Access Dubuque (07/18/25)
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  • Clinical Documentation Specialist

    LifePoint Health (Martinsville, VA)
    …physicians, case managers, coders and other health care team members, the Clinical Documentation Specialist, will strive to ensure comprehensive medical record ... is a full service, acute-care hospital providing over 22 medical specialties. Among the services we offer are a...to all members of the health care team on documentation guidelines, this position will provide guidance and support,… more
    LifePoint Health (06/23/25)
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  • Clinical Documentation Specialist (Risk…

    Commonwealth Care Alliance (Boston, MA)
    …**Supervision Exercised:** + No **Essential Duties & Responsibilities:** + Evaluates medical record documentation and corrective coding to optimize reimbursement ... trends, and changes in the laws and regulations governing medical record coding and documentation + Identify...and regulations governing medical record coding and documentation + Identify training needs, prepare training materials, and… more
    Commonwealth Care Alliance (06/07/25)
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  • Clinical Documentation Specialist

    Trinity Health (Dubuque, IA)
    …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 (07/18/25)
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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 (07/18/25)
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  • HIM Retrospective Clinical Documentation

    Penn Medicine (Philadelphia, PA)
    Documentation Specialist will oversee organization-wide system for improving clinical documentation in the medical record. Plan, organize, design, implement ... RHIT or CCS Required Skills and Abilities Strong knowledge of MS-DRG's and medical record documentation requirements are essential Ability to analyze complex… more
    Penn Medicine (06/17/25)
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  • Coding and Documentation Educator

    AdventHealth (Overland Park, KS)
    …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 (06/17/25)
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  • Coding and Documentation Educator

    AdventHealth (Maitland, FL)
    …and 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 (06/17/25)
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