Clinical Documentation Improvement Specialist
$102k - $158.39kBILH Performance Network
- Clinical Documentation Improvement SpecialistCharlestown, MA • Beth Israel Lahey Health • Full-time • DayShare job:Apply now**When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.**The Clinical Documentation Improvement (CDI) Specialist II assists with the appropriate identification of diagnoses, conditions, and/or procedures that are representative of the patient’s hospital stay and care provided including Severity of Illness (SOI), Risk of Morality (ROM), during an inpatient hospitalization. CDI Specialist II initiates concurrent queries to providers as supported by medical record documentation to improve the accuracy, integrity, and quality of patient data, and drive improvement toward quality physician documentation within the body of the medical record. The CDI Specialist II works under the direction of the Manager of CDI and collaborates with coding, clinicians, medical staff, and physician advisors to improve documentation and the importance of complete and accurate documentation.**Job Description:****Essential Duties & Responsibilities** including but not limited to:* Concurrently reviews inpatient records to ensure completeness, accuracy, and clinical validation.* Evaluates documentation for assignment of working and possible DRG.* Recognizes opportunities for documentation improvement, including severity of illness, risk of mortality, core measures, and patient safety/quality.* Identify opportunities to query physicians regarding missing, unclear, or conflicting documentation.* Interacts directly with physicians to request and obtain additional documentation when needed.* Timely follow-up on all unanswered queries based on the query escalation policy.* Facilitates modifications to physician documentation to reflect the complexity of care of the patient and appropriate reimbursement.* Maintains a collaborative working relationship with the Health Information Coding staff and serves as a clinical resource.* Collaborates with and educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing, and case management.* Performs mortality reviews and optimizes the risk of mortality.* Maintains review worksheet on all records using CDI software.* Ensures the accuracy of clinical information used for measuring and reporting physician and hospital quality outcomes.* Reviews, evaluates, analyzes, and interprets data related to documentation on an ongoing basis. Identifies trends or potential problems and assists in developing action plans to address.* Participates in additional projects such as developing physician education materials, CDI week advertisements, etc.* Adheres to ethical and professional business practices.* All other duties as assigned.* It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required.**Minimum Qualifications:****Education:**Bachelor’s in Nursing, required**Licensure, Certification & Registration:*** RN License* Clinical Documentation Specialist Certification via ACDIS or AHIMA**Experience:*** 2-5 years of medical/surgical nursing experience in the acute hospital setting.* Critical Care and/or Emergency Nursing experience required**Skills, Knowledge & Abilities:*** Proficient skill in query writing to physicians* Knowledge to accurately complete chart audits* Organizational and critical thinking skills required* Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint, or Access**Pay Range:**$102,000.00 USD – $158,392.00 USDThe pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.## As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.## More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.## Equal Opportunity Employer/Veterans/Disabled### **Job details*** **Employment:** Full-time* **Hours/Week:** 40* **Shift:** Day* **Category:** Clinical Documentation Improvement (CDI)* **Pay Range:** $102,000.00 USD - $158,392.00 USD* **FLSA:** Exempt* **Req ID:** JR93008
- J-18808-Ljbffr BILH Performance Network
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Clinical Documentation Improvement Specialist in Oklahoma City, OK vacancy
- ...Clin Documentation Specialist Join our team as a day shift, full time, Clin Documentation Specialist... ...City, OK. Responsibilities The Clinical Documentation Specialist is... ...trends, variances, and opportunities to improve documentation review processes. Conducts...SuggestedFull timeDay shift
INTEGRIS Health
Oklahoma City, OK3 days ago $27.88 - $40.38 per hour
...Adjustment CDS will provide clinically based prospective, concurrent... ...capture based on clinical documentation. The Risk Adjustment CDS will... ...Outpatient Clinical Documentation Specialist Department: Clinical... ...patient disease burden and improve patient outcomes and reduce...SuggestedHourly payFull timeContract workFixed term contractWork at officeFlexible hours- A staffing agency is seeking a SNAP Case Reviewer to ensure compliance with SNAP policy. The role is 100% remote and requires extensive knowledge of SNAP eligibility and quality assurance processes. Candidates should have over 5 years of experience in supervising SNAP staff...SuggestedWork at officeRemote work
The Hollister Group LLC
Oklahoma City, OK1 day ago - ...Overview Clinical Practice Assistant at Beth Israel Deaconess Medical Center. Job Type:... ...Prepares schedules, patient charts and other documents as needed in accordance with quality... ...work collaboratively in small teams to improve the operations of immediate work group by...SuggestedFull timeImmediate startShift work
Beth Israel Deaconess Medical Center
Oklahoma City, OK2 days ago $50k - $74k
...Job Title: Document Control Specialist Location: WMFTS - USA - Supply - Devens, MA Location Type: On‑Site Website: Group: When you join Watson... ...compliant documentation across functions. You will monitor and improve document and training performance indicators, using data...SuggestedApprenticeshipLocal areaSpirax-Sarco Engineering
Oklahoma City, OK1 day ago$60k
Socomec Sas in Massachusetts is seeking an Accounts Receivable Specialist responsible for managing the entire billing and collections... ...accounts receivable, including skills in negotiation and process improvements. This role involves reconciling customer accounts, resolving...$32 - $42 per hour
...records, ensuring precision and adherence to documentation Oversee and audit the work of Level... ...applicable Champion documentation improvement opportunities and coding issues,... ..., and hospital staff, while addressing clinical and reimbursement issues What You Need...Hourly payFull timeRemote workRelocation packageFlexible hoursDatavant
Oklahoma City, OK3 days ago- ...queries physicians when required; elevates documentation issues to management; ensures valid... ...changes in coding by reading all new Coding Clinics and CPT Assistants annually.Complete a... ...practice.Participate in performance improvement activities utilizing principles to...Hourly payPart time
AVEM HEALTH PARTNERS
Oklahoma City, OK1 day ago $32 - $42 per hour
...future of how data is connected and used to improve health. By joining Datavant today, you... ..., ensuring precision and adherence to documentation Oversee and audit the work of Level... ..., and hospital staff, while addressing clinical and reimbursement issues What You...Hourly payFull timeRemote workRelocation packageFlexible hoursDatavant
Oklahoma City, OK14 hours ago- ...notifications for procedures performed in the clinic. Essential Functions Review and analyze patient records and physician documentation for completeness and accuracy, focusing... ...documentation and provide feedback for improved coding compliance. Conduct chart...Work at officeMonday to ThursdayShift work
Oklahoma Arthritis Center
Edmond, OK12 days ago $74.68k - $145.47k
...competencies; and3. Submit the appropriate documentation to support your CTAP or ICTAP... ...directly related to full professional work in clinical psychology. NOTE: If you are within... ...information Candidates should be committed to improving the efficiency of the Federal...InternshipWork at officeLocal areaFederal Bureau of Prisons
Oklahoma City, OK15 days ago$30.8 - $33.8 per hour
Electronic Document Control Specialist will support Manufacturing Engineering by formatting, editing,... ...content from scratch. Instead, they will improve document clarity, grammar,... ...supporting GMP, GxP, medical device, clinical-trial, or other regulated-product documentation...Hourly payContract workMonday to Friday$132.77k - $137.04k
...new employees. Provides technical and clinical information and communicates results of... ...reviews and updates all AristaCare required documentation per Policy and Procedure (P&P). Follows... ...rotations. Participates in Performance Improvement activities, educational programs and...Minimum wageWork experience placementLocal areaKPH Healthcare Services
Oklahoma City, OK14 hours ago$330k - $400k
...hospital employed Heart Failure Specialist to join our Cardiology... ...designated Cardiology/Heart failure clinic. As the result of a... ...an initial evaluation with documentation of the history and physical,... ...oversight, as well as process improvements (system redesigns). # Patient...Permanent employmentFull timeContract workFreelanceRelocation packageMonday to Friday$20 - $28 per hour
...current SNAP policy. Navigate eligibility systems and electronic documents to research cases. Document findings and communicate results... ...root causes of case errors. Contribute to continuous improvement efforts. Required Skills: Extensive understanding and knowledge...Hourly payWork at officeImmediate startRemote work- ...verification, telephone, or web application; improves patient satisfaction through... ...of 1 year of experience in a hospital, clinic, medical office, business services/revenue... ...forms are completed and other paperwork/documents are gathered and accurate. Efficiently and...Permanent employmentWork experience placementWork at officeLocal areaImmediate startShift work
Ochsner Health
Oklahoma City, OK3 days ago $16.25 per hour
...Description Leidos is hiring for Documentation Specialist I to support the Federal Aviation Administration's CARES Registry. The successful candidates will be required to perform the basic duties of their family job and must be willing to work in a collaborative team-...Hourly payPermanent employmentWork at officeLeidos
Oklahoma City, OK4 days ago- ...Manages the facility VCCR process, including complaint resolution, data capture and analysis of issues/complaints to make system improvements Assists SLAs and front-line staff in resolving issues that occur at the point of service, while also addressing more complex...Remote workMonday to FridayFlexible hours
US Department of Veterans Affairs
Oklahoma City, OK4 days ago - ...City, OK EyeCare Partners is the nation's leading provider of clinically integrated eye care. Our national network of over 300... ...patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice...
Walker Surgical Center
Oklahoma City, OK14 hours ago - ...values capture that spirit as we work to improve lives by doing what's right for pets and... ...hospitals, hundreds of preventive care clinics and eight distribution centers. In 1999,... ...regularly communicate with clients, veterinary specialists, and companies that provide products and...Odd jobWork at officeLocal areaImmediate startFlexible hoursNight shift
Petco Health and Wellness
Edmond, OK3 days ago - ...arrangement is subject to the locality pay area of the alternative telework worksite. Desired Attributes Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the...Full timePart timeInterim roleWork at officeRemote workTrial periodRelocation package
Drug Enforcement Administration
Oklahoma City, OK2 days ago - United Surgical Partners International is seeking a PRN Unit Secretary for the day shift in Oklahoma City. This role involves providing clerical and receptionist support, managing medical records, and assisting in patient admissions and transfers. Candidates should possess...ReliefDay shift
- ...application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Data/Document Specialist Full Time Oklahoma City, OK, US 6 days ago Requisition ID: 1238 Coates Field Service, Inc . is seeking a highly motivated...Permanent employmentFull timeFor subcontractorWork at officeLocal areaRemote work
Coates Field Service
Oklahoma City, OK2 days ago - ...Registered Nurse Infection Prevention / Quality Improvement Full Time Community Hospital is... ...standards. Conducts research to document information on infection prevention and... ...ability to comprehend and interpret complex clinical subject matter related to the department...Full timeTemporary workRelocation packageFlexible hours
$26 per hour
...Now Hiring: PRN Clinical Staff Assisted Living & Memory Care | Epworth Villa - Oklahoma City Positions: LPN (Charge Nurse... ...needs with confidence • Maintain clear communication and documentation • Help create a safe, welcoming environment Pay Rates...Extra incomeReliefImmediate startFlexible hoursShift workNight shiftWeekend workEpworth Villa
Oklahoma City, OK7 days ago- ...Why the role is open: Growing patient volume and expanded clinical programs Are you detail-oriented, analytical, and passionate... ...encounters are coded correctly and efficiently. Review provider documentation to assign accurate ICD-10, CPT, and HCPCS codes Ensure...Work at officeWeekday work
Impactkare
Edmond, OK2 days ago - ...healthcare mission serving hospitals and clinics. This is an opportunity to contribute... ...will support the integrity of clinical documentation, help ensure compliant reimbursement, and... .... Supports documentation quality improvement efforts through accurate review and consistent...Full timeContract workTemporary workWork at officeImmediate startRemote workHome officeMonday to FridayFlexible hours
- ...Documentation Specialist- Post Closing Audit The Documentation Specialist is responsible for supporting the Bank's risk mitigation efforts by ensuring properly executed original loan documentation is received, reviewed, tracked, and maintained in accordance with applicable...Bank staff
- The Documentation Preparation Specialist II supports the commercial loan production teams through courteous, timely, and accurate preparation and review of loan documents. Gathers, compiles, and evaluates information, as well as obtains documents necessary for timely completion...Work experience placementLocal area
$16.25 per hour
Leidos is looking for a Documentation Specialist I in Oklahoma City to support the Federal Aviation Administration’s CARES Registry. This position entails organizing documents, operating equipment, and performing quality control in a collaborative environment. The successful...Hourly pay
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Documentation Improvement Specialist. Be the first to apply!
Related searches
- medical records clerk Oklahoma City, OK
- medical reviewer Oklahoma City, OK
- medical records reviewer Oklahoma City, OK
- clinical documentation specialist Oklahoma City, OK
- medical record assistant Oklahoma City, OK
- clinical reviewer Oklahoma City, OK
- medical records administrator Oklahoma City, OK
- remote clinical documentation specialist Oklahoma City, OK
- health records assistant Oklahoma City, OK
- medical records clerk