Job Board

Welcome to the ACDIS Job Board!

ACDIS member organizations may post up to two openings per year. You must login to access the form. Additional job postings may be made available for a fee.

Non-ACDIS members can post openings for a fee of $350 per job description by contacting ACDIS member relations at customerservice@hcpro.com, or by phone at 800/650-6787.

Each post will remain on the board for roughly 30 days.

Job description and benefit language must be limited to the actual job description and benefits, without extraneous language about the facility or region.

There is a character limit of 1,500 for description and 700 for benefits (including spaces and punctuation). We will edit your post (or return for you to edit) if the counts exceed the stated limits.


Date of Request: July 29, 2015
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: Sky Ridge Medical Center
Location of Facility / Hospital: Lone Tree, CO
Contact Person: Lance Browning (please apply via the Healthonejobs.com website to be contacted)
Contact Address: Lance.Browning@HealthONEcares.com

Job Description: The Clinical Documentation Specialist (CDS) position does allow candidate to work locally from home as well as on the hospital campus. The CDS facilitates modifications to clinical documentation through concurrent interaction with physicians and other members of the health care team to support that appropriate clinical severity is captured for the level of service rendered to all inpatients.
Requirements:

  • Current RN license or CCS/RHIA/RHIT and acute care coding experience desirable
  • Prefer BSN or RN with 10 years acute care experience or RHIA/RHIT with ten years inpatient coding experience
  • Advanced clinical/auditing expertise and extensive knowledge of complex disease processes with a broad clinical experience in an inpatient setting
  • CDS or CDIP preferred
  • At least 2 years' experience in Clinical Documentation Improvement
  • Ability to work independently and in a team environment
  • Excellent interpersonal, written/verbal communication and presentation skills

Apply online: http://healthonejobs.com/job/Clinical-Documentation-Specialist/194402/#.VbG08E1OXDc

Compensation: Competitive
Benefits: Competitive
Preferred Start Date: July 29, 2015
Position Type: Full-time , Permanent


Date of Request: July 29, 2015
Job Title: Clinical Documentation Improvement Specialist
Name of Facility / Hospital: Precyse
Location of Facility / Hospital: Crystal Lake, Illinois
Contact Person: Talent Acquisition
Contact Address: careers@precyse.com

Job Description: Join Precyse as we lead the movement toward HIM Innovation! Our clients will look to your expertise as you facilitate the improvement in the overall quality and completeness of medical record documentation. Precyse's comprehensive Clinical Documentation Improvement and education platforms can be tailored to address specific hospital documentation improvement goals. This includes customized improvement programs and educational tools to meet those goals, including integrating ICD-10 principles and demands for further documentation specificity. Our three-phased CDI approach includes Assessment and Design, Education and Implementation, Follow-up and Monitoring. Our CDI Specialists have this wide array of tools available to them to ensure proper documentation and the achievement our clients' long term goals.
Requirements:

  • RN, CCDS or CDIP a plus
  • Associate's Degree in a relevant field preferred or combination of equivalent education and experience
  • Three plus years' clinically well-rounded medical or surgical acute care nursing experience preferred
  • Critical care nursing experience preferred
  • Knowledge of clinical documentation guidelines and CDI program implementation experience preferred

Equal Opportunity Employer EOE M/F/D/V
To Apply https://careers-precyse.icims.com/jobs/12123/clinical-documentation-improvement-specialist/job

Compensation: Negotiable
Benefits:
Preferred Start Date: July 29, 2015
Position Type: Full-time
 


Date of Request: July 29, 2015
Job Title: Clinical Documentation Improvement Specialist
Name of Facility / Hospital: Precyse
Location of Facility / Hospital: Waterbury, Connecticut
Contact Person: Talent Acquisition
Contact Address: careers@precyse.com

Job Description: Join Precyse as we lead the movement toward HIM Innovation! Our clients will look to your expertise as you facilitate the improvement in the overall quality and completeness of medical record documentation. Precyse's comprehensive Clinical Documentation Improvement and education platforms can be tailored to address specific hospital documentation improvement goals. This includes customized improvement programs and educational tools to meet those goals, including integrating ICD-10 principles and demands for further documentation specificity. Our three-phased CDI approach includes Assessment and Design, Education and Implementation, Follow-up and Monitoring. Our CDI Specialists have this wide array of tools available to them to ensure proper documentation and the achievement our clients' long term goals. Requirements:

  • RN, CCDS or CDIP a plus
  • Associate's Degree in a relevant field preferred or combination of equivalent education and experience
  • Three plus years' clinically well-rounded medical or surgical acute care nursing experience preferred
  • Critical care nursing experience preferred
  • Knowledge of clinical documentation guidelines and CDI program implementation experience preferred

Equal Opportunity Employer EOE M/F/D/V
To Apply https://careers-precyse.icims.com/jobs/12061/clinical-documentation-improvement-specialist/job

Compensation: Negotiable
Benefits:
Preferred Start Date:
July 29, 2015
Position Type:


Date of Request: July 29, 2015
Job Title: Clinical Documentation Improvement (CDI) Senior Consultant
Name of Facility / Hospital: Travel
Location of Facility / Hospital: Remote Opportunity
Contact Person: Talent Acquisition
Contact Address: careers@precyse.com

Job Description: The Clinical Documentation Improvement Specialist (CDIS) is responsible for facilitating the improvement in the overall quality and completeness of medical record documentation. Obtains appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient care givers, and Health Information Management coding staff to ensure that appropriate reimbursement is received for the level of services rendered to patients and the clinical information utilized in profiling and reporting outcomes is complete and accurate. This individual will report to the Director, Clinical Documentation Improvement. Strategic Source Qualifications:

  • RN Required. Bachelor's Degree or MD (medical degree) a plus.
  • Clinical documentation improvement experience highly preferred
  • CCDS, CDIP, or CCS preferred.
  • In addition to education, 3 to 5 years of well-rounded medical or surgical acute care nursing and/or critical care nursing experience required.

To Apply: https://careers-precyse.icims.com/jobs/12049/clinical-documentation-improvement-%28cdi%29-senior-consultant/job
Equal Opportunity Employer EOE M/F/D/V

Compensation: Negotiable
Benefits:
Preferred Start Date: July 29, 2015
Position Type: Full-time


Date of Request: July 21, 2015
Job Title: CDI Education Specialist
Name of Facility / Hospital: HCPro/ACDIS
Location of Facility / Hospital: Danvers, MA
Contact Person: Brian Murphy, ACDIS Director
Contact Address: bmurphy@acdis.org

Job Description: HCPro, Inc. and the Association of Clinical Documentation Improvement Specialists (ACDIS) are currently seeking an individual to serve as CDI Education Specialist. The primary function of this role is serving as instructor for the ACDIS-sponsored CDI Boot Camp, ICD-10 for CDI Boot Camp, and the Advancing CDI Boot Camp, as well as customized boot camps and other client engagements. Enjoying teaching and education are a must, as are excellent verbal and written communication skills. Candidate must be familiar with PowerPoint use and design. The CDI Education Specialist also serves as in-house support and expertise for ACDIS-related functions, including assisting with articles and related product development. In addition, the CDI Education Specialist is responsible for updating and revising class materials under the direction of the CDI Education Director. The CDI Education Specialist position is home-based but requires approximately 50-75% travel. Candidates will preferably have four to 10 years experience in the CDI field. Candidates will have a current RN licensure or be a Registered Health Information Administrator (RHIA) through AHIMA. Certified Clinical Documentation Specialist (CCDS) or Certified Coding Specialist (CCS) credentials preferred. Interested candidates should send resume to ACDIS Director Brian Murphy (email address listed above).

Compensation: Competitive, based on experience
Benefits: HCPro offers health, dental, vision, flexible spending accounts, and 401K.
Preferred Start Date: August/September 2015
Position Type: Full-time, salaried


Date of Request: July 26, 2015
Job Title:  Clinical Documentation Specialist
Name of Facility/Hospital: UCLA Health
Location of Facility/Hospital: Los Angeles, CA
Contact Person/email/phone:  Bella Aivazian
Contact Address: IAivazian@mednet.ucla.edu

Job Description: As Clinical Documentation Specialist, you will be responsible for reviewing medical records and communicating with physicians to clarify information and obtain documentation. This role involves ongoing collaboration with clinical caregivers and the hospital coding staff.

The candidate we’re seeking is a licensed RN and Coding Specialist, preferably with BS degree in a health related field. You will be expected to maintain current knowledge and understanding of ICD-9 coding and DRG systems, as well as ICD-10. You must be skilled in abstracting and interpreting medical information from patient records. Strong clinical knowledge is also required for this role.

Apply directly at: www.ecentralmetrics.com/url/?u=62714344384-203

For more information, visit uclahealthcareers.org or contact Bella Aivazian at baivazian@mednet.ucla.edu.
 
The University of California is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.    

Compensation: Competitive / Commensurate with experience
Benefits: Health, dental and vision plans that begin on your first day and a rtirement plan. 13 paid holidays and 15 vacation days beginning your first year. Relocation assistance is available for those who qualify.      
Preferred Start Date: August 2015
Position Type: Full-Time
 


Date of Request: July 26, 2015
Job Title: Senior CDI Consultant
Name of Facility / Hospital: Peak Health Solutions
Location of Facility / Hospital: Nationwide
Contact Person: Tarnissaya "Tari" Teasley
Contact Address: TTeasley@peakhs.com

Job Description: Performs Clinical Documentation Improvement (CDI) program assessment, consultation and educational functions, assist in the establishment of strategic direction and determine the business and vision for CDI Consultation and educational services to strive for excellence in client service delivery and program outcomes. The position assures compliance with regional and national coding and documentation policies and procedures as well as overseeing and developing training programs to ensure educational requirements are met and correction plans for improvement are implemented and monitored. This position is responsible for identifying educational and consultative initiatives, providing subject matter expertise, interviewing candidates for CDI positions and support to the department. This position will share knowledge of CDI, MS-DRGs, APCs, APR-DRGs, etc. Qualifications: • Bachelor's Degree or equivalent in Nursing (RN) • Credentialed (RHIT, RHIA, or CCS) and active membership with the American Health Information Management Association preferred • 5 years of experience in Nursing field, and at least two years in a CDI capacity • Significant experience (5+ years) as a healthcare HIM Senior CDI Consultant/Coding, CDI Senior CDI Consultant, Supervisor, Manager, Senior CDI Consultant/DRG Coordinator, Coding Supervisor, Coding Auditor or similar job title • Experience with managing in a remote workforce with associated software applications

Compensation: Commensurate with Experience
Benefits: Competitive Benefit Package
Preferred Start Date: July 26, 2015
Position Type: Full-time , Permanent
 


Date of Request: July 26, 2015
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: Phoenix Children's Hospital
Location of Facility / Hospital: Remote or onsite
Contact Person: Dianne Gresham
Contact Address: dgresham@phoenixchildrens.com

Job Description: Communicates with physicians or medical staff departments to facilitate complete and accurate documentation of the inpatient record supporting appropriate reimbursement to all patients with a DRG based payer. Serves as a resource for physicians to help link ICD-9-CM and ICD-10-CM coding guidelines and medical terminology to improve accuracy of final code assignment. Bachelor’s degree in Nursing or Associates degree in Nursing coupled with 2 years clinical experience or RHIT, CCS or RHIA certification in lieu of ADN or BSN. (Required) Minimum of 3 years of broad clinical experience, predominantly in pediatric care. Care coordination, case management, discharge planning, utilization review or acute care coding experience. (Required) Working knowledge of the financial aspects of third party payers and reimbursement. (Required)  Click on the following link for more information:  https://careers.phoenixchildrens.com/Core/PostingDetail.aspx?ID=24367

Compensation: Competitive
Benefits: Competitive
Preferred Start Date: August 15, 2015
Position Type: Full-time
 


Date of Request: July 23, 2015
Job Title: CDI Consultant
Name of Facility / Hospital: UASI
Location of Facility / Hospital: Remote w/ 25% travel
Contact Person: Brittany Gruber
Contact Address: brittany.gruber@uasisolutions.com

Job Description: UASI is continuing to expand our CDI Service offerings and we are currently seeking experienced CDI Specialists to join our consulting team. The CDI specialist will work with client facilities to analyze and interpret medical record documentation and formulate appropriate physician queries to improve the quality, completeness and accuracy of the medical record. The ideal candidate will have a clinical background with a thorough knowledge of official medical coding guidelines, CMS, and private payer regulations related to the Inpatient Prospective Payment System. The ability to communicate with physicians and hospital staff in a collaborative manner to promote appropriate clinical documentation and quality improvement is a must.
Additional requirements include:

  • RN, RHIT, RHIA, and preferably have CCS, CDIS, CCDs
  • Clinical background (RN or MD) preferred
  • 5+ CDI years and have experience working at large academic medical centers
  • Previous experience educating, mentoring, or leading workgroups
  • The ability to travel 25%
  • Knowledge of Epic
  • Knowledge of 3M CDI 360R2 platform
  • Availability beginning 9/8/15

Compensation: Competitive
Benefits: Comprehensive benefit package includes:

  • Medical, dental, vision and life insurance, short/long-term disability, 401(K) and referral bonuses
  • Flexible work schedules, paid holidays, and great PTO
  • Training opportunities, a corporate credit card for expenses (for travel), paid ACDIS/AHIMA dues, reference materials
  • Birthday recognition, holiday gift selections, years of service awards and quality bonus programs

Preferred Start Date: September 8, 2015
Position Type: Full-time , Permanent
 


Date of Request: July 21, 2015
Job Title: Clinical Documentation Spec-RN
Name of Facility / Hospital: Advocate Illinois Masonic Medical Center
Location of Facility / Hospital: Chicago, IL
Contact Person: Nancy Jean-Simon
Contact Address: nancy.jean-simon@advocatehealth.com

Job Description: Will facilitate the modifications of clinical documentation through extensive initial and concurrent interaction with physicians and other members of the healthcare team, to support appropriate documentation of the clinical severity and risk of mortality is captured for the level of services rendered to select inpatients populations. Supports timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes & provides education to all members of the health care team on an ongoing basis.

Bachelor of Science in Nursing (BSN)-Board Certification by 12/31/2015 or within two years of hire
3-5 years recent clinical nursing experience (Critical Care preferred), 2+ years experience as Clinical Documentation Specialist desired (CCDS a plus)
We are Tompson Reuters Top 100 and Magnet Certified

To learn more about this position and to apply, please visit: https://career4.successfactors.com/sfcareer/jobreqcareer?jobId=21082&company=advohealth&username=

Compensation: Competitive / Commensurate with experience
Benefits: We offer an excellent compensation package and comprehensive benefits
Preferred Start Date: July 21, 2015
Position Type: Full-time
 


Date of Request: July 15, 2015
Job Title: CDI Professional
Name of Facility / Hospital: Ardent Healthcare Systems
Location of Facility / Hospital: Albuquerque NM, Tulsa OK
Contact Person: Silvia Sedillo
Contact Address: silvia.sedillo@lovelace.com

Job Description: 

  • Facilitates concurrent modifications to clinical documentation supporting specificity of services and care provided
  • Demonstrates knowledge of ICD-9-CM and ICD-10 coding and documentation requirements, clinical documentation requirements and a thorough understanding of policies and procedures
  • Ensures the accuracy and completeness of clinical documentation used for measuring and reporting physician and hospital outcomes as well as appropriateness of treatment setting
  • Educates all internal customers, including physicians, nurses and other ancillary personnel, on clinical documentation opportunities, coding and reimbursement issues, as well as performance improvement methodologies
  • Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient's chart
  • Reviews clinical issues with coding staff, nurses and other healthcare professionals as appropriate to ensure appropriate inpatient technical diagnosis and procedural coding
  • Seeks out opportunities to discuss cases with physicians/providers including periodic meetings, rounding and/or attending medical staff meetings
  • Maintains a collaborative working relationship with quality, case management and HIM staff
  • Inputs activities from concurrent reviews into CDI solution and ensures consistency of data captured
  • Serves as a member of the facility CDI Team and Ardent Documentation

Compensation: Competitive 
Benefits: Paid time off; 401(k); medical, dental, and vision; company provided and optional life insurance; healthcare and dependent care flexible spending accounts. 
Preferred Start Date: July 15, 2015
Position Type: Full-time, part-time, and permanent


Date of Request: July 14, 2015 
Job Title: Clinical Documentation Improvement Senior Consultant
Name of Facility / Hospital: Optum 360
Location of Facility / Hospital: Multiple Client Locations
Contact Person: Adam Albright
Contact Address: Adam.Albright@uhg.com

Job Description: As a Senior Consultant, you'll provide consulting services to strengthen and improve healthcare operations. Required Qualifications (1) Bachelor's Degree or equivalent work experience (2) Must be willing to travel 75% - 80% of the time **Travel is typical for this role and our associates leave out early Monday and return late on Thursday. Location of residence is flexible for this role; however, travel is a requirement. (3) Minimum of 3 years healthcare or hospital operations experience required in Clinical Documentation Improvement (4) Prior consulting experience required (5) 3 years of project/program management experience required, including demonstrated ability to lead a multifaceted projects (6) Demonstrated high level of proficiency in presentation skills to audiences of various sizes (7) CCDS or CDIP credentialed (8) Assets: Experience working in a Big 5 or large consulting organization is preferred Apply online at http://careers.unitedhealthgroup.com/ and search by position: 593030.

Compensation: Competitive
Benefits: 
Preferred Start Date: July 14, 2015
Position Type: Full-time 


 

Date of Request: July 10, 2015
Job Title: Clinical Documentation Specialist-Clinic Setting
Name of Facility / Hospital: Lubbock Heart & Surgical Hospital
Location of Facility / Hospital: Lubbock, TX
Contact Person: Courtney Huntsman
Contact Address: chuntsman@lubbockheart.com

Job Description: Responsible for concurrent review of the clinical documentation in the medical record to obtain the most accurate and complete physician documentation that appropriately supports the severity of patient illness, mortality statistics and appropriate reimbursement, as it pertains with current policies, procedures, and regulations. Qualifications: CDI Certification preferred 2 years clinical experience in an acute care hospital 2 years clinical experience in the health clinic setting Working knowledge of ICD-10, ICD-9, and DRG assignment. Ability to multi-task efficiently and effectively Must be able to act calmly and effectively in a busy or stressful situation Ability to communicate effectively in the English language Must be able to establish and maintain effective working relationships with managers, clinic staff, and physicians.

Compensation: DOE
Benefits: 401K Paid Time Off Insurance
Preferred Start Date: July 10, 2015
Position Type: Full-time, Permanent
 


Date of Request: July 10, 2015
Job Title: CDI Level I/Medical Scribe
Name of Facility / Hospital: Lubbock Heart & Surgical Hospital
Location of Facility / Hospital: Lubbock, TX
Contact Person: Courtney Huntsman
Contact Address: chuntsman@lubbockheart.com

Job Description:
Essential functions include but are not limited to:

  1. Accompany physician into the patient examination room in order to transcribe a history and physical exam, and document accurately the physician's encounter with the patient and others present.
  2. List all proper diagnoses and symptoms as well as follow up instructions and prescriptions as dictated by the physician.
  3. Transcribe patient orders including laboratory tests, radiology tests, medications, etc.
  4. Document any procedures performed by the physician.

Additional responsibilities

  1. Maintain professional appearance and conduct at all times.
  2. Adhere to employer work practices.
  3. Establish and maintain effective working relationships with physicians, staff and managements.
  4. Effectively cope with typical job stress.
  5. Document work processes as required. 6. Perform other duties as assigned.

Qualifications: Education: High school diploma or equivalent, 2 years of college preferred Certification/Licensure: Not required.

Experience: One of the following:

  1. 6 months experience as a Medical Scribe.
  2. 6 months related experience and/or training, or equivalent combination of education and experience.
  3. May come from a variety of backgrounds such as LVN, MA, Medical Transcriptionists
  4. Fluency in Spanish is desired but not required

Skills:

  1. Medical terminology.
  2. Recognition of physical exam process and ability to record exam details.
  3. Computer proficiency and ability to quickly learn

Compensation: DOE
Benefits: 401K Paid Time Off Insurance Competitive pay
Preferred Start Date: July 10, 2015
Position Type: Full-time
 


Date of Request: July 10, 2015
Job Title:  RN- Clinical Documentation Specialist
Name of Facility/Hospital: Froedtert Hospital
Location of Facility/Hospital: Milwaukee, WI
Contact Person/email/phone:  Amy Paull/amy.paull@froedtert.com/404-805-7007
Contact Address: 9200 W. Wisconsin Avenue, Milwaukee, WI 53226

Job Description: Will ensure overall quality of clinical documentation. The RN in this role facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers and medical records coding staff to ensure compliance and appropriate reimbursement, and ensures accuracy of clinical information used for measuring and reporting physician and medical center outcomes.

Qualifications:

  • Professional knowledge of nursing theory and practice at a level normally acquired through completion of a minimum of two years of education (Associate’s degree) at an accredited School of Nursing
  • Current RN licensure in the State of Wisconsin or a multi-state nursing license from a participating state in the NLC (Nurse Licensure Compact)
  • 5+ years of related experience; critical care and/or ICU preferred
  • Excellent observation, verbal/written communication, analytical and problem solving skills


To learn more about Froedtert Health and to apply, please visit jobs.froedtert.com and reference Requisition #4042 in your job search.
 
Compensation: Competitive
Benefits:
Preferred Start Date: Open
Position Type: Full-Time




Date of Request: July 10, 2015
Job Title: Director, Clinical Documentation Improvement
Name of Facility/Hospital:  Cleveland Clinic
Location of Facility/Hospital: Independence, OH

Job Description: Responsible for the clinical documentation improvement (CDI) program across the Cleveland Clinic Health System (CCHS). Initiates, influences, directs and oversees the clinical documentation improvement activities to include personnel management, budget, productivity, quality, education and training, auditing, report management, DRG assurance, performance improvement initiatives and developing standardized practices, processes, policies and procedures across the CCHS enterprise. Serves as a consultant on clinical documentation improvement requirements to include any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, complexity of care rendered to all patients and mitigate patient safety indicators (PSIs) and hospital acquired conditions (HACs).

Qualifications include:

  • Bachelor's degree required; additional relevant experience may offset the degree requirement.
  • Registered Nurse License (RN), Registered Health Information Administrator certification (RHIA), Registered Health Information Technician certification (RHIT), Certified Coding Specialist certification (CCS) is required.
  • A minimum of 7 years of experience in care coordination, utilization review, HIM and/or coding is required.


To see full job description, requirements or to apply, visit:
http://jobs.clevelandclinic.org/home/job-info?id=274295500&t=Director%20Clinical%20Documentation%20Improvement%20Job
EOE

Compensation:
Benefits: Comprehensive benefits program includes pension/savings plans, wellness programs and medical/dental/vision coverage, we offer flexible spending plans, life insurance and disability plans, paid time off, tuition assistance program, and reimbursement for professional certification.
Preferred Start Date:
Position Type: Full time
 


Date of Request: July 8, 2015
Job Title: Manager, Clinical Documentation Integrity
Name of Facility / Hospital: Texas Children's Hospital
Location of Facility / Hospital: Houston, Texas
Contact Person: Adam Eltarhoni
Contact Address: aeltarhoni@kinetixhr.com

Job Description: The Clinical Documentation Integrity Manager will provide support to the Assistant Director, CDI Physician Advisor(s), and the Coding Team, in addition to the Clinical Documentation Specialist (CDS) functions. The manager will assist and follow up on processes assigned, ensure continuity of reviewed accounts, and monitor accuracy to ensure all CDSs are reviewing charts appropriately. This position will also assist the CDSs with the implementation and training of any new and existing software applications. The manager will work closely with the CDI Physician Advisor(s), and the Coding Team in order to support appropriate coding of each record reviewed. This position will also work with the Assistant Director and Physician Advisor(s) to coordinate, develop, and present information to the medical staff, as well as other projects as assigned. The formal education and experience required for completely satisfactory performance in this job is three years of clinical documentation experience, and at least one of the following certifications: RN, RHIA, RHIT, CCS, CPC, CCDS, or CDIP. Supervisory experience preferred. Apply online at: http://texaschildrenspeople.org.

Compensation: Competitive
Benefits: Comprehensive benefits package including medical, dental, vision, 403(b), etc.
Preferred Start Date: September 1, 2015
Position Type: Full-time, Permanent


Date of Request:  July 1, 2015
Job Title:  Clinical Documentation Improvement Specialist – NonClinical
Name of Facility/Hospital:  Valley Children’s Hospital
Location of Facility/Hospital:  Madera, CA
Contact Person:  Dennis Yee, CHCR
Contact Address:  dyee@valleychildrens.org

Job Description:  The HIM Clinical Documentation Improvement Specialist - NonClincal will assist in concurrent by assigning the appropriate diagnosis, procedures and working DRG and conducts retrospective reviews to evaluate the clinical documentation in the medical record to capture missed conditions and procedures that are supported by the clinical documentation. Performs Clinical Documentation Improvement report generation for scorecard and dashboard reporting, scorecard maintenance, and data analysis. Serves as a liaison and resource for coder, Clinical Documentation Improvement Specialist - Clinical, and the documenting provider.  Works with the coding staff to provide guidance to ensure that appropriate clinical severity is captured for the level of service rendered to all patients. The CDIS will also perform focused reviews at the discretion of the Director CDI/Coding.
This position requires:

  • a High School Diploma/GED. Associate's Degree or Bachelor's Degree in Health Information Management or related health care area preferred.
  • Certified Coding Specialist (CCS) within 18 months of hire or Clinical Documentation Improvement Specialist (CDIS) certification. A Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred.
  • A minimum of 5 years work related experience in a Health Information Management Department or health related field.

Apply online at www.valleychildrens.org

Compensation:  Competitive salary offered based on experience, relocation assistance offered
Benefits:  Comprehensive benefits package offered including medical, dental, vision, two pension plans (403b w/60% employer match after first year of employment), 5 weeks PTO and more! 
Preferred Start Date:  ASAP
Position Type:  Full-time
 


Date of Request: July 8, 2015
Job Title:  Clinical Documentation Specialist
Name of Facility/Hospital: Providence Little Company of Mary Medical Center
Location of Facility/Hospital: San Pedro, CA
Contact Address: Apply online: http://50.73.55.13/counter.php?id=40135

Job Description: In this position you will:

  • Responsible for improving the overall quality and completeness of clinical documentation
  • Facilitate modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff to ensure that appropriate reimbursement is received for the level of service rendered to all patients with a DRG (Diagnosis-Related Group) based payor
  • Ensure the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes
  • Educate all members of the patient care team on an ongoing basis


Required qualifications for this position include:

  • Current California Licensed Registered Nurse, Nurse Practitioner, Physician Assistant, or Licensed MD
  • Current Basic Life Support (BLS) certification for Healthcare Providers from the American Heart Association
  • 5 years recent clinical experience in an acute care hospital setting        


Preferred qualifications for this position include:

  • Bachelor's Degree in Nursing (BSN)
  • Experience as a Clinical Documentation Specialist
  • Case Management/ICU experience


Position Type: Full Time


Date of Request: July 8, 2015
Job Title:  Clinical Documentation Specialist
Name of Facility/Hospital: Providence Tarzana Medical Center
Location of Facility/Hospital: Tarzana, CA
Contact Address: Apply online: http://50.73.55.13/counter.php?id=40133

Job Description: In this position you will:

  • Maintain established departmental policies and procedures, objectives, improving organization performance program, and patient/customer safety standards
  • Serve as a resource person and a role model in specialty area.  Support and facilitates nursing assessment, care planning, patient/family education, and clinical problem solving for complex or difficult care situations
  • Facilitate development, implementation, review, and revision of department, medical center, and service area policies, procedures, and standards of care related to areas of expertise
  • Facilitate modifications to clinical documentation to ensure that appropriate reimbursement   is received for the level of service rendered to all patients with a DRG based payor (Medicare, Medicaid, and Managed Care)


Required qualifications for this position include:

  • Current California Registered Nurse (RN) License, Nurse Practitioner, Physician Assistant
  • Current Basic Life Support certification (BLS) for healthcare provider sponsored by American Heart Association
  • Five (5) years recent clinical experience in a hospital setting
  • A minimum of one year of experience in the role of Clinical Documentation Specialist or one or more years of clinical skills in conjunction with prior coding experience


Preferred qualifications for this position include:

  • Acute care experience
  • Bachelor's Degree in Nursing (BSN)
  • Case Management/ICU experience


Position Type: Full Time


Date of Request: July 8, 2015
Job Title:  Clinical Documentation Specialist
Name of Facility/Hospital: Providence Saint John's Health Center
Location of Facility/Hospital: Santa Monica, CA
Contact Address: Apply online: http://50.73.55.13/counter.php?id=40134

Job Description: In this position you will:

  • Responsible for improving the overall quality and completeness of clinical documentation
  • Facilitate modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff to ensure that appropriate. reimbursement is received for the level of service rendered to all patients with a DRG based payor.
  • Ensure the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes.  Educate all members of the patient care team on an ongoing basis.


Required qualifications for this position include:

  • Current California Registered Nurse (RN) License, Nurse Practitioner, or Physician Assistant
  • Current Basic Life Support certification (BLS) for healthcare provider sponsored by American Heart Association
  • 2 years recent clinical experience in a hospital setting


Preferred qualifications for this position include:

  • Bachelor's Degree in Nursing (BSN)
  • 5 years case management/ICU experience   

Date of Request: July 6, 2015
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: Hunt Regional Medical Center
Location of Facility / Hospital: Greenville, Texas
Contact Person: Teri Stepaniak
Contact Address: tstepaniak@huntregional.org

Job Description: Under general direction, facilitates improvement in the overall quality, completeness and accuracy of medical record documentation. Obtains appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, Care Management and Health Information Management coding staff to ensure that the clinical information used in measuring and reporting outcomes is complete and accurate, and that reimbursement is received for the level of services rendered to patients with DRG based payors. Educates all members of the patient care team on documentation guidelines on an ongoing basis. Collects and analyzes data to provide reports and make recommendations. Works collaboratively with staff to provide staff support, including assistance with problem solving and recommendations for process improvements. Collaborates with other disciplines regarding proposed DRG changes and proposed quality concerns. Required: RN, RHIT or RHIA credentials. Required: Graduate of a Nursing program or an approved accredited program for Health Information Management (HIT or HIA). One year or more experience in medical record data abstraction related to coding, quality monitoring, or clinical documentation improvement.

Compensation: $46,000-66,000
Benefits:
Preferred Start Date:
July 1, 2015
Position Type: Full-time , Permanent
 


Date of Request: July 2, 2015
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: Texas Children's Hospital
Location of Facility / Hospital: Houston, Texas
Contact Person: Adam Eltarhoni
Contact Address: aeltarhoni@kinetixhr.com

Job Description: The Clinical Documentation Specialist (CDS) functions as the coordinator/educator for the Inpatient Documentation Improvement Program. The CDS facilitates the improvement of the overall quality and completeness of clinical documentation in the patient record through extensive interaction with physicians, nursing staff, other patient caregivers, and HIM coding staff. Skills required for the job include excellent verbal and written communication skills, analytical decision making and judgment skills, proficiency in computer usage including database and spreadsheet analysis, presentation programs, ability and willingness to seek out and accept change, as well as adaptability and self-motivation. One of the following certifications are required: MD, RN, PA, RHIA, RHIT, CCS, CPC, CCDS, or CDIP. Apply online at: http://texaschildrenspeople.org

Compensation: Grade 14
Benefits: Dental, vision, life, 403b, etc.
Preferred Start Date: September 1, 2015
Position Type: Full-time , Permanent
 


Date of Request: July 1, 2015
Job Title: Documentation specialist/audit coordinator
Name of Facility / Hospital: Scripps Health
Location of Facility / Hospital: San Diego
Contact Person: Emily Emmons
Contact Address: Emmons.Emily@scrippshealth.org

Job Description: Facilitates improvement in medical record documentation by interacting with and educating physicians, nurses and coding staff to ensure medical records accurately reflect patient acuity for quality reporting and reimbursement.Registered Nurse with preferred three years recent acute care clinical experience and/or RHIA or RHIT with five years acute care coding experience. Excellent communication and critical thinking skills. Strong leadership qualities including the ability to motivate, teach and facilitate individuals and groups on reaching objectives of program. Working knowledge of Medicare reimbursement, third party payer requirements, ability to review and interpret clinical information, knowledge of hospital regulatory requirements desired. Computer literacy and ability to efficiently and effectively obtain clinical information from a variety of sources necessary. Registered Nurse. Bachelor's degree preferred and/or RHIA or RHIT.

Compensation: NA
Benefits: NA
Preferred Start Date: July 1, 2015
Position Type: Full-time
 


Are you using ICD-10-CM/PCS queries?
Yes, we have been querying for ICD-10-related specificity for more than six months
Yes, we just started incorporating ICD-10-related specificity into our queries
No, we are in the process of learning ICD-10-related specificity ourselves
No, we won't be querying for ICD-10-related specificity until the go-live date
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