Clinical Documentation Specialist
Omega Healthcare Management Services
Clinical Documentation SpecialistCoordinates and maintains all elements of the Clinical Documentation Improvement Program in order to meet the goals and objectives of the organization and its stakeholders.Meet CDI program objectives, goals, and balance scorecard metrics.Ensures timely, accurate, and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes.Ensure effective communications with key stakeholders.Analyzes data, creates reports to meet desired outcomes.Identifies trends and opportunities for improvement in clinical documentation.Meets program quality and productivity guidelines and standards.Collaborates with coding professionals to fully support the needs of clinical code assignment, communicates proficiently with coding professionals to resolve identified discrepancies.Work effectively with CDI team members to accomplish departmental goals.Demonstrates continued advancement in professional growth.Perform duties in compliance with Company's policies and procedures, including but not limited to those related to HIPAA and compliance.Ability to prioritize and multi-task in a multifaceted environment.Demonstrate strong organizational skills and be detail oriented.Demonstrate ability to self-motivate, set goals, and meet deadlines.Demonstrate mentoring and interpersonal skills.Demonstrate excellent presentation, verbal, and written communication skills.Ability to develop and maintain relationships with key business partners by building personal credibility and trust.Maintains courteous and professional working relationships with employees at all levels of the organization.Demonstrate successful leadership skills with the use of critical thinking, problem solving, and deductive reasoning required.Specialized training in advanced computer skills with proficiency in Microsoft Word, Excel, Power Point, and Outlook e-mail requiredAdditional training in Access database management, Medicare Part A and B programs, DRG assignment, and knowledge of MCC/CC preferredThis job operates in a remote home office environment. This role routinely uses standard office equipment such as computers and phones.While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus.This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m. This position occasionally requires long hours and weekend work.Minimal travel required; up to 5%Bachelor's degree in healthcare field (e.g., nursing, health information management) OR equivalent combination of education/experience combined required. (One year of education equals one year of experience).Minimum of one to three years' experience in clinical quality, utilization management, case management, nursing, coding, or a related field.Three to five years' experience in a Clinical Documentation Improvement Program with previous experience in clinical quality, utilization management, case management, nursing, coding, or related field (e.g., physician) of which a minimum of three years' experience is in a management or supervisory role.Bachelor's degree, with a healthcare related credentialOmega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories.Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at
- ...Job Description Job Description Job Title: Clinical Documentation Specialist (RN/LPN) – Full Time Location: On-site – Staten Island, NY | Valley Stream, NY | Margate, FL Schedule: Monday to Friday, 9:00 AM – 5:00 PM Department: Clinical Reports To: VP of...SuggestedFull timeWork at officeMonday to Friday
- ...Omega Healthcare Management Services is seeking a certified medical coder to abstract, code, and interpret clinical information from inpatient and outpatient records. The role focuses on accurate sequencing of diagnoses and procedures to support DRG/APC reimbursement,...SuggestedRemote workWork from homeHome office
- Sr. Document Specialist / Tech Writer (Contract Writer) Direct message the job poster from Pyramid Technology Solutions Account Manager - US Staffing at Pyramid Technology Solutions Position - Sr. Document Specialist/Tech Writer (Contract Writer) Location - Boca Raton...SuggestedContract workWork experience placementLocal area
- Omega Healthcare Management Services seeks an experienced Coder Inpatient to review medical records and assign accurate inpatient, outpatient, and pro fee codes. You will work remotely, ensuring compliance with AHIMA/AMA/AHA and CMS rules while maintaining high-quality,...SuggestedRemote job
- Old Republic Title is seeking a Policy Typist to accurately prepare title insurance documents, endorsements and commitments. You will type and process documents using proprietary software, and prepare Preliminary Reports with a focus on confidentiality. This in-office role...SuggestedWork at officeMonday to Friday
$19.5 - $23 per hour
...pain management (preferred) Excited to work in a fast-paced environment Responsibilities include, but not limited to: Documenting in EMR system Triaging patients Drawing blood Taking patients' vital signs Assisting doctors with procedures,...Hourly payFull timePrivate practiceRelocationMonday to FridayNight shiftWeekend work- Omega Healthcare Management Services is seeking a skilled medical coder to abstract, code, and sequence clinical information from various records. You will assign principal and secondary diagnoses and procedures, applying DRG/APC rules to ensure compliant coding. The role...
- ...Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department,... ..., and determines appropriate coding for reports and billing documents. Identifies codes for reporting medical services, procedures...Remote jobFull timeWork at officeHome officeMonday to FridayWeekend work
- Baptist Health in Boca Raton is seeking a HIM Document Tech to prep, collate and index protected health information into the Document Management System while upholding the integrity of the medical record. You will review documents for correct patient demographics, batch...Night shift
$46.92k
Description: Located in Hershey, PA, Milton Hershey School (MHS) is a top-notch home and school where over 2,200 pre-K through 12th grade students from disadvantaged backgrounds are provided an extraordinary, cost-free, career-focused education. This is made possible ...Full timeWork from homeRelocation packageFlexible hoursWeekday work- ...The Documentation Specialist is resposible for creating and maintaining technical and business documentation, training, and communication materials for internal and external use. A significant portion of the documentaion is related to information technology controls,...For contractorsWork experience placementWork at office
- ...working directly with patients, is comfortable in a fast-paced clinical environment, and has an interest in chiropractic care, rehabilitation... ...and other treatments as directed by the provider Obtain and document basic patient information Help maintain patient flow...Full timeWork at officeMonday to Friday
- Schweiger is one of the leading dermatology practices in the country with over 580+ healthcare providers and over 170+ offices in New York, New Jersey, Pennsylvania, Connecticut, Florida, Illinois, Missouri, Minnesota, and California. Schweiger provides medical, cosmetic...Full timeTemporary workWork at officeLocal areaMonday to FridayFlexible hoursWeekend workWeekday work
- ## Medical Records assistant- Full timeApplylocations: Ocean Ridge Post Acutetime type: Full timeposted on: Posted Todayjob requisition id: JR175382**General Purpose**The primary purpose of your job position is to maintain resident medical records and health information...Full timeWork at officeImmediate startShift workWeekend work
- ...and patient follow-up. Maintain accurate patient records and documentation within the practice management software. Follow up with... ...communications through phone, text, and email. Work closely with the clinical team to ensure a seamless patient experience. Support front...Private practiceWork at office
- ...growing healthcare team. This patient-facing role supports daily clinical operations and helps patients through their rehabilitation... ...care, prepare treatment rooms, guide exercises, maintain documentation, and ensure a welcoming, organized clinic environment. Full-time...Full timeMonday to Friday
- ...Boca Raton. This is a patient-facing role ideal for someone who enjoys working directly with patients and thrives in a fast-paced clinical environment with an interest in chiropractic care, rehabilitation, sports medicine, neurology, or musculoskeletal care. Key responsibilities...Full time
- Veterinary Clinical Staff Manager - Boca Raton, FL In 2014, VEG was born with a mission to help people and their pets when they need... ...Coordinator Training and Development (customized plans, documentation, resources)- all credentialed veterinary technician growth plans...Full timeLocal areaImmediate startAll shiftsFlexible hoursShift work1 day per week
$50k - $54k
...ensuring accuracy and compliance. Proficiency in utilizing coding clinics for provider education and feedback is essential. This role... ...Assign accurate ICD-10, CPT, and CPT II codes based on documentation from in-home assessments, ensuring compliance with CMS risk adjustment...Work from homeMonday to FridayWeekend work- ...demographic and insurance information in EMR system Schedule, confirm and manage patient appointments Communicate effectively with clinical staff regarding patient scheduling and needs Work closely with insurance and billing departments at HQ to address patient account...Full time
- ...care and experience in dermatology and aesthetic services. We are currently seeking candidates with exceptional customer service and clinical skills to join our team as a Medical Receptionist. We strive to create a career destination that feels more like family than work....Hourly payWork at officeLocal area
- Sage Dental is seeking a Patient Coordinator to join our team in Deerfield Beach, FL! Our Patient Coordinators professionally support the operations of the dental office. Sage Dental offers you: Competitive base pay with performance bonuses (case-acceptance incentives...Work at office
$16 - $20 per hour
Dental Receptionist Dental Receptionist - Spanish Required. The right candidate will have at least 1 year of dental experience. Previous customer/sales roles goal oriented candidates. You must love dentistry. Responsibilities: Verifying patient insurance benefits...Hourly payFull timeWork at office- ...their well-being, inside and out. Drawing on educational excellence from top research institutions, the team brings over a decade of clinical and aesthetic experience to every client interaction. Peace Love Med emphasizes compassionate bedside manner, personalized...Full timeWork at officeImmediate startShift workWeekend workAfternoon shiftWeekday work
- Sage Dental in Deerfield Beach, FL is seeking a Patient Coordinator to join our team. This role supports the operations of the dental office and delivers excellent customer service to patients and visitors. Responsibilities include check-in/check-out, scheduling, insurance...Work at office
- The University of Miami/UHealth Department of Clinical Access has an exciting opportunity for a full-time Patient Access Representative 1 to work at our Deerfield location. Core Job Summary The Patient Access Representative 1 (On-Site) registers patients for clinical services...Full timeWork experience placementWork at officeWorldwide
- ...Patient Care Tech for night per diem shifts to support nursing staff with basic care, vital signs, hygiene and monitoring. You will document in the EHR and assist as a unit secretary when needed. Qualifications include a high school diploma or GED, CPR certification, and...Daily paidFlexible hoursNight shift
$16.61 - $21.09 per hour
Baptist Health in Boynton Beach is seeking a Unit Clerk/Admin Partner in Clinical Surgical at Bethesda East. This full-time role supports department and patient flow as a frontline ambassador, performing clerical duties and data entry to ensure smooth operations. The position...Hourly payFull time- ...Representative 1 at our Deerfield location. You will register patients, verify insurance, collect payments, and gather required documents to ensure smooth clinical access. Responsibilities include explaining consent forms, HIPAA, scheduling follow-ups, handling inquiries, and...
$16.61 - $21.09 per hour
Baptist Health Boca Raton Regional Hospital is seeking a front desk/guest services associate to support department and patient flow. You'll act as a frontline ambassador in customer service, perform clerical duties and data entry, and help create a positive patient experience...Hourly payFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Documentation Specialist. Be the first to apply!




