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Interdisciplinary Team Lead (Program Specialist) CalOptima CalOptima Health is seeking a highly motivated Program Specialist (Interdisciplinary Team Lead) to join our team. The Program Specialist (Interdisciplinary Team Lead) will be responsible for supporting the Manager PACE Center by holding primary responsibility for scheduling meetings and follow ups with the Interdisciplinary Teams (IDT), documenting attendance, recording decision-making, and managing authorizations for multiple IDT. The incumbent will interact with various clinical and non-clinical staff to coordinate participant care. Position Information: 
<ul>
<li>Department: PACE- Clinic </li>
<li>Salary Grade: 305 - $55,966 - $83,949 ($26.91 - $40.3601) </li>
<li>Work Arrangement: Full Office **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>95% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Coordinates calendars, meeting space, equipment and schedules to support IDT functions.</li>
<li>Serves as a scribe to all IDTs by tracking authorizations, service delivery requests and care coordination authorizations that are approved by the IDT.</li>
<li>Tracks and communicates to the Quality Improvement team the status of service delivery requests, including approved, denied or modified to ensure compliance with regulatory requirements.</li>
<li>Tracks and communicates the status of initial, semi-annual and annual assessments for all members of the IDT on behalf of the manager.</li>
<li>Assigns and tracks completion of PACE participant care plan approval.</li>
<li>Ensures completion of required documentation in electronic health records within 30-day requirement.</li>
<li>Serves as a liaison between manager and members of IDT and follows up on the progress of projects and activities assigned to other staff.</li>
<li>Determines the priority of matters of attention for the manager and redirects to supervisor, staff or handles matters directly as appropriate.</li>
<li>Provides back-up support to the Administrative Assistant by taking IDT minutes.</li>
<li>Maintains accurate and timely documentation in participant electronic health records.</li>
<li>Provides administrative support for specific and/or ongoing projects, such as regulatory audits by generating reports, logs, calendars and mailings as appropriate.</li>
<li>Attends and participates in in-services, staff meetings and case conferences as indicated. </li>
</ul>
</li>
<li>5% - Completes other projects and duties as assigned. </li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration, health care administration, public health, public policy or related field PLUS 2 years of administrative experience in a health care setting required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. </li>
<li>1 year of experience working with the frail or elderly population required with relevant experience within the last 3 years required. </li>
<li>CPR and First-Aid Certification required or must be obtained within six (6) months of date of hire.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>N/A</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits &amp; Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the <a href="https://apptrkr.com/get_redirect.php?id=6322849&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is July 8, 2025 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: <a href="https://apptrkr.com/6322849" target="_blank">https://jobs.caloptima.org/jobs/interdisciplinary-team-lead-program-specialist-pace-garden-grove-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-57516b5c0f361d49a2dff80b78f313ae

Interdisciplinary Team Lead (Program Specialist)

<h3>Job Description</h3>
Job DescriptionKeystone Advisors is looking for a Clinical Documentation Specialist to support one of our healthcare clients located in the Illinois Medical District in Chicago, IL. Job Summary: The Clinical Documentation Specialist conducts concurrent and retrospective medical documentation reviews on inpatient medical records to identify clinical indicators to support appropriate severity of illness, expected risk of mortality and complexity of care of the patient. The Specialist facilitates comprehensive medical record documentation to reflect clinical treatment, diagnoses and decisions from physicians to bridge gaps in clinical documentation which address patient care and regulatory compliance. Under supervision, the Specialist completes timely documentation reviews to assign principal diagnosis and pertinent secondary diagnoses for inpatients admitted emergently, urgently and electively and outpatient services for completeness. Audits external Centers for Medicare &amp; Medicaid Services (CMS) Recovery Audit Tracker (RAC) Audit results. Performs monthly audits of all internal coders for accuracy. Using broad knowledge of quality record medical documentation and regulatory directives, the Specialist coordinates point of care and/or retrospective documentation improvement to address severity of illness and risk mortality; and, for further use with patient care, quality of care and performance measurement, and reimbursement. Job Duties include but are not limited to the following: 
<ul>
<li>Completes initial reviews of inpatient health records within 24-48 hours of admission and outpatient health records for a specified patient population to evaluate documentation to assign the principal diagnosis and pertinent secondary diagnoses for severity of illness and risk of mortality</li>
<li>Queries physicians regarding missing, under, or conflicting health record documentation and obtains additional documentation within the health record when needed</li>
<li>Conducts follow-up reviews of patients every 2-3 days to support documentation adequacy upon patient discharge, as necessary</li>
<li>Follows clients Clinical Documentation Program Guidelines in carrying out position functions; works accurately within the hospital's designated clinical documentation system</li>
<li>Educates physicians and key healthcare providers regarding clinical documentation Improvement and the need for accurate and complete documentation in the health record</li>
<li>Demonstrates an understanding of medical necessity, severity of Illness, complications, comorbidities, risk of mortality, case mix, secondary diagnoses, and procedures, and is able to impart this knowledge to physicians and other members of the interdisciplinary healthcare team</li>
<li>Collaborates with the physician advisor, case managers, nursing staff, and other ancillary staff regarding interaction with physicians on documentation and to resolve physician queries prior to patient discharge</li>
<li>Participates in the analysis, interpretation and trending of statistical data for specified patient populations to identify opportunities for clinical documentation and process Improvement</li>
<li>Assists with preparation and presentation of clinical documentation monitoring and trending reports for review with physicians and hospital leadership</li>
<li>Educates members of the patient care team regarding specific documentation needs and reporting and reimbursement issues Identified through daily and retrospective documentation reviews and aggregate data analysis</li>
<li>Facilitates change processes required to capture needed documentation, such as forms and screen design</li>
<li>Partners with the coding professionals to ensure adequate coding understanding to support clinical documentation necessary to determine a working severity of illness</li>
<li>Reviews and clarifies clinical issues In the health record With the coding professionals that would support accurate and specific diagnoses and procedural coding</li>
<li>Assists in appeal process resulting from third-party reviews</li>
<li>Performs other duties as assigned</li>
</ul>
Minimum Qualifications:&nbsp;
<ul>
<li>Valid license as a Registered Professional Nurse in the State of Illinois OR a Registered Health Information Technician (RHIT) OR a Registered Health Information Administrator (RHIA)</li>
<li>Three (3) years of experience in acute care nursing, as a registered health information technician, or as a registered health information administrator OR a combination of the three totaling three (3) years of experience</li>
<li>One (1) year of experience within the last five (5) years working in Clinical&nbsp; Documentation Improvement</li>
<li>One (1) year of experience working with Case Mix, ICD 10 coding, principal and secondary diagnoses, procedures, complications, comorbidities, severity and patient mortality risk</li>
<li>Current experience with federal, state, and other payers' regulatory requirements and criteria including, but not limited to, Medicare and Medicaid</li>
<li>Prior experience working in a hospital or health care environment</li>
<li>Must be detail oriented for clinical documentation review</li>
<li>Must be familiar with electronic health record systems, i.e. Cerner or Siemens</li>
</ul>
​​​​​​​​​​​​​​Preferred Qualifications &amp; Certifications: ​​​​​​​​​​​​​​​​​​Five (5) years of acute care nursing experience or as a registered health information administrator
<ul>
<li>Two (2) years of experience within in the last three (3) years working in Clinical Documentation Improvement</li>
<li>Two (2) years of experience working with Case Mix, ICD 10 coding, principal and secondary diagnoses, procedures, complications, comorbidities, severity and patient mortality risk</li>
<li>Two (2) years of experience with federal, state, and other payers' regulatory requirements and criteria including, but not limited to, Medicare and Medicaid</li>
<li>Current experience with lnterQual and/or Milliman Care guidelines</li>
<li>Certified Documentation Improvement Practitioner (CDIP), or Certified Clinical Documentation Specialist (CCDS)</li>
</ul>
Knowledge, Skills, Abilities and Other Characteristics:
<ul>
<li>Certified Documentation Improvement Practitioner (CDIP), or Certified Clinical Documentation Specialist (CCDS)</li>
<li>Knowledge and application of AHIMA, and/or ACDIS Ethical Standards</li>
<li>Knowledge of, but not limited to, current CMS coding guidelines and methodologies, MS­ DRGs, APR-DRGs, HCCs; ICD-10-CM/PCS and AMA CPT coding guidelines and conventions</li>
<li>Interpersonal, verbal, written communication skills in dealing with inter and intradepartmental activities</li>
<li>Critical thinking skills with the ability to assess, evaluate, and teach&nbsp;Organizational and analytical thinking skills</li>
<li>Ability to develop and maintain supportive, collaborative relationships with Physicians and other clinical professional</li>
<li>Ability to provide concise reports of activities and results</li>
<li>Ability to work independently in performing duties with minimal supervision with a high degree of self-motivation</li>
<li>Ability to teach in a large group setting to educate healthcare providers about current documentation standards</li>
<li>Ability to track activities and communication across multiple physician services and forums</li>
<li>Ability to work with clinical manager, case management, and physicians to make clinical documentation improvements, i.e. change clinical documentation processes</li>
<li>Ability to analyze problems and issues and understand the regulatory and&nbsp;reimbursement impact of those decisions</li>
<li>Ability to become adaptable and self-motivated by staying abreast of CMS rules and regulations and incorporating those changes into daily practice</li>
<li>Proficiency in Microsoft Office Suite (Word, Excel, and PowerPoint)</li>
</ul>
Compensation Package:
<ul>
<li>Competitive Salary</li>
<li>Paid Time Off</li>
<li>Health, Vision &amp; Dental Insurance</li>
<li>Health Savings Account (HSA)</li>
<li>Flexible Spending Account (FSA)</li>
<li>Short &amp; Long Term Disability</li>
<li>401 (K) with company match</li>
<li>Life Insurance</li>
</ul>
&nbsp;
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Clinical Documentation Specialist

<h3>Job Description</h3>
A nonprofit services organization in New York City is currently looking to fill two temporary Outreach &amp; Auditing positions. In this role, the qualified professional will be responsible for ensuring quality assurance in client chart audits and maintaining accurate client outreach records. 
Responsibilities:
<ul>
<li>Conduct thorough quality assurance audits on client charts across multiple systems with high attention to detail</li>
<li>Document and enter notes for all client outreach activities accurately in databases</li>
<li>Prepare Excel reports for clients requiring outreach efforts</li>
<li>Obtain and verify client contact information in preparation for outreach activities</li>
<li>Communicate effectively by phone, email, and verbally to support outreach processes</li>
</ul>
Qualifications:
<ul>
<li>2+ years of related work experience</li>
<li>Associate's and/or Bachelor's Degree</li>
<li>Proficient with Microsoft Excel and comfortable creating spreadsheets</li>
<li>Strong attention to detail and accuracy in data entry and auditing.</li>
<li>Excellent verbal and written communication skills</li>
<li>Reliable, organized, and able to manage multiple tasks efficiently</li>
</ul>
Desired Skills:
<ul>
<li>
Bilingual (English and Spanish) 
</li>
</ul>

<h3>Job Description</h3>
Job DescriptionCareers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Central Patient Building Location: Sioux Falls, SD Address: 1305 W 18th St, Sioux Falls, SD 57105, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $27.50 - $44.00 Department Details The position is Monday through Friday, no nights, weekends or holidays. Eight-hour workdays, with flexibility in start and end times to meet business needs. Training on-site with consideration of remote work, after one year or possibly sooner when proficient in job role. Role will consist primarily of reviewing medical record documentation for adult patient population. Opportunity to work with a dynamic and engaging team. Job Summary The Clinical Documentation Specialist (CDS) communicates with providers, case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment, decisions, and diagnoses for inpatients/residents. The CDS utilizes the hospital's designated clinical documentation system to identify opportunities for physician and hospital outcomes, provides or coordinates education to all internal customers related to compliance, coding, and clinical documentation issues and acts as a consultant to coders when additional information or documentation is needed to assign the correct diagnosis related group (DRG). Responsible for the day-to-day evaluation of documentation by the medical staff and healthcare team, and gathers and analyzes information pertinent to documentation findings and outcomes. Contributes to a positive working environment and performs other duties as assigned or directed to enhance the overall efforts of the organization. Must possess advanced communication and interpersonal skills with all levels of internal and external customers. Demonstrate excellent written/verbal communication, critical thinking, creative problem solving, and conflict management skills. Proficient in organization and planning. Possess strong computer skills including the use of spreadsheets, presentation programs, word processing, and Internet searching. Also demonstrates working knowledge of quality improvement theory and practice. Maintains working knowledge of DRGs and understanding of medical necessity process. Knowledgeable of federal, state, and other payers' regulations, requirements, and criteria. Adheres to ethical and professional business practices, such as the Association of Clinical Documentation Improvement Specialists (ACDIS) code of ethics and official coding guidelines. Utilizes the appropriate professional documentation to support daily processes, including white papers published by ACDIS, American Health Information Management Association (AHIMA), and other professional organizations. May perform record reviews on clients in all age groups. Coordinates, facilitates, and negotiates with others. Controls variances and duplication. Must work closely with ancillary and support services. Ability to document clearly. Ability to solve problems. Ability to facilitate groups and implement projects when necessary. Functions within the scope and standards of nursing practice as outlined in the Nurse Practice Act and Administrative Rules in state of practice and licensure. The Professional Nursing Practice recognizes the Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements as published by the American Nurses Association as the foundation of nursing care delivery and professional conduct. Qualifications Bachelor’s degree in nursing required. Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). If no degree, will consider seven years equivalent work experience. Additionally, three years of recent clinical nursing experience required. Experience in case management, utilization management, and/or coding preferred. Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Obtains and subsequently maintains required department specific competencies and certifications. Certification in Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement and Integrity (C-CDI) preferred. Quality improvement/assurance personnel with nursing backgrounds can maintain their license without seeking additional hours based on role’s responsibilities. Benefits Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit <a href="https://sanfordcareers.com/benefits" target="_blank">https://sanfordcareers.com/benefits</a> . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to <a href="mailto:talent@sanfordhealth.org" target="_blank">talent@sanfordhealth.org</a> . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0219178 Job Function: Care Coordination Featured: No

<h3>Job Description</h3>
Job DescriptionCompany Description 
THIS IS A HYBRID POSITION. MUST BE LOCATED IN OR NEAR BALTIMORE, MD AREA.
The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and children’s health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you’ll enjoy as a member of our team.&nbsp;
Job Description 
Overview
<ul>
<li>Under the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program, the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding and reporting of high-quality healthcare data. The CDS is guided by the Association of Clinical Documentation Integrity Specialists (ACDIS) “Code of Ethics” and the American Health Information Management Association’s (AHIMA) “Ethical Standards for Clinical Documentation Integrity Professionals” and the Official Guidelines for Coding and Reporting as approved by the Cooperating Parties.</li>
</ul>
Qualifications 
Qualifications
<ul>
<li>Education · Registered Nurse (RN), Physician (MD), Physician Assistant (PA) , Certified Registered Nurse Practitioner (CRNP), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).</li>
</ul>
Experience ·
<ul>
<li>Licensures/Certifications · Must obtain certification as a Certified Clinical Documentation Specialist (CCDS) via ACDIS or a Certified Documentation Integrity Practitioner (CDIP) via AHIMA within 2 years of hire or eligibility.</li>
</ul>
 Additional Information 
All your information will be kept confidential according to EEO guidelines.
Compensation: Pay Range:&nbsp;$38.67-$58.05 Other Compensation (if applicable): Review the 2024-2025 UMMS Benefits Guide

Clinical Documentation Specialist, Hybrid

<h3>Job Description</h3>
Job Description
Clinical Documentation Improvement (CDI) Specialist
POSITION SUMMARY:
Educates providers and serves as the subject matter expert for any topic related to provider documentation in the organization. Is an advisor to providers regarding complete and accurate outpatient documentation and functions as a liaison between providers and coders with the goal of creating mutual understanding of the many uses of medical record documentation. Working independently, the Clinical Documentation Improvement (CDI) Specialist performs audits of the medical record to ensure the capture of complete and accurate provider documentation and coding. The CDI Specialist will develop collaborative relationships and possess excellent interpersonal skills in building and maintaining crucial relationships so that the most complete and accurate provider documentation can be achieved. 
EDUCATION REQUIREMENTS:
At least one of the following certifications is required: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist Physician-Based (CCS-P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Clinical Documentation Specialist (CCDS, Certified Documentation Improvement Practitioner (CDIP), or Clinical Documentation Improvement Specialist (CDIS)
Knowledge Of: 
<ul>
<li>Expert level of knowledge and ability to apply medical documentation guidelines and practices.</li>
<li>Knowledge of, but not limited to, current coding guidelines and methodologies, MS-DRG, APR-DRG, HCCs; ICD-10-CM coding guidelines and conventions.</li>
<li>Extensive knowledge of medical terminology, anatomy and pathophysiology and ancillary test results.</li>
</ul>
Crusader Community Health serves the Rock River Valley area with quality primary health care for all people in need. CCH provides a comprehensive benefits package which includes: Medical, Dental, Flexible Spending/Health Savings Account, Life Insurance, Accident Coverage, Critical Illness Coverage. Employees enjoy company paid Life Insurance, Short Term Disability and Long-Term Disability, paid Holidays, Personal Days, accrued Paid Time Off hours (PTO)- 18 days in the first year, and continuing medical education time and financial reimbursement. Additionally, employees may enroll in the CCH 403(b) Retirement Plan, with employer match after one year of service.
To view a complete job description, please click here: Clinical Documentation Improvement (CDI) Specialist.pdf
Crusader Community Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

Clinical Documentation Improvement Specialist

<h3>Job Description</h3>
Job Description
Description:
<ul>
<li>
Manage Phase I to IV study activities.
</li>
<li>
Ensures the Master File is always inspection-ready and complies with ICH GCP guidelines.
</li>
<li>
This role involves regularly updating and assisting study teams to address issues related to key Master File health indicators, including the completeness, accuracy, and timeliness of all essential documents throughout the lifecycle of assigned clinical trials.
</li>
</ul>
Qualifications:
<ul>
<li>
Bachelor's degree or international equivalent preferred.
</li>
<li>
Minimum 2 years relevant industry experience in clinical document management or equivalent experience preferred.
</li>
<li>
Demonstrates analytical and critical thinking skills.
</li>
<li>
Excellent oral and written communication skills; ability to facilitate cross-functional team meetings.
</li>
<li>
Demonstrates awareness of clinical documentation business procedures. 
</li>
<li>
Compliant to clinical documentation processes
</li>
<li>
Experienced in using Microsoft PowerPoint and Excel and/or Document Management Systems preferred.
</li>
</ul>
Benefits:
Healthcare Insurance: Synectics offers eligible employees and their dependents healthcare coverage through BlueCross BlueShield of Illinois. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics. Premiums are subsidized by Synectics. 
Dental Insurance: Synectics offers eligible employees and their dependents a dental plan through MetLife. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics. 
Vision Insurance: Synectics offers eligible employees vision insurance through VSP. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics.401(k) Plan: The Synectics Inc. Investment Savings Retirement Plan. Synectics offers all employees who are 21 years of age or older the opportunity to invest in the 401(k) Plan on the first enrollment date that is at least 30 days after employment begins. Enrollment dates are each January 1st, April 1st, July 1st, and October 1st.
Technical Certification Bonus: Synectics is pleased to award its employees a bonus of up to $500 for an approved professional certification. In determining the bonus amount, Synectics will consider the cost of the test(s) for any certification relating to your current position, achieved during your employment with us. Only one Certification Bonus per calendar year may be awarded per employee. Only current, active employees will be eligible to receive this bonus. It will be awarded 90 days after the Synectics office has received documentation confirming the successful completion of the certification.
Synectics is an equal opportunity employer.

<h3>Job Description</h3>
Job Description
Careers With Purpose
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Facility: Carufel Building 
Location: Fargo, ND 
Address: 505 7th Ave N, Fargo, ND 58102, USA 
Shift: Day 
Job Schedule: Full time 
Weekly Hours: 40.00 
Starting Rate: $27.50 - $44.00 
Pay Info: ** experience credit added to wage 
Department Details**
Bachelor's degree in nursing required for the role.
Job Summary
The Clinical Documentation Specialist (CDS) communicates with providers, case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment, decisions, and diagnoses for inpatients/residents. The CDS utilizes the hospital's designated clinical documentation system to identify opportunities for physician and hospital outcomes, provides or coordinates education to all internal customers related to compliance, coding, and clinical documentation issues and acts as a consultant to coders when additional information or documentation is needed to assign the correct diagnosis related group (DRG). Responsible for the day-to-day evaluation of documentation by the medical staff and healthcare team, and gathers and analyzes information pertinent to documentation findings and outcomes. Contributes to a positive working environment and performs other duties as assigned or directed to enhance the overall efforts of the organization.
Must possess advanced communication and interpersonal skills with all levels of internal and external customers. Demonstrate excellent written/verbal communication, critical thinking, creative problem solving, and conflict management skills. Proficient in organization and planning. Possess strong computer skills including the use of spreadsheets, presentation programs, word processing, and Internet searching. Also demonstrates working knowledge of quality improvement theory and practice. Maintains working knowledge of DRGs and understanding of medical necessity process. Knowledgeable of federal, state, and other payers' regulations, requirements, and criteria. Adheres to ethical and professional business practices, such as the Association of Clinical Documentation Improvement Specialists (ACDIS) code of ethics and official coding guidelines. Utilizes the appropriate professional documentation to support daily processes, including white papers published by ACDIS, American Health Information Management Association (AHIMA), and other professional organizations.
May perform record reviews on clients in all age groups. Coordinates, facilitates, and negotiates with others. Controls variances and duplication. Must work closely with ancillary and support services. Ability to document clearly. Ability to solve problems. Ability to facilitate groups and implement projects when necessary.
Functions within the scope and standards of nursing practice as outlined in the Nurse Practice Act and Administrative Rules in state of practice and licensure. The Professional Nursing Practice recognizes the Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements as published by the American Nurses Association as the foundation of nursing care delivery and professional conduct.
Qualifications
Bachelor’s degree in nursing required. Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). If no degree, will consider seven years equivalent work experience.
Additionally, three years of recent clinical nursing experience required. Experience in case management, utilization management, and/or coding preferred.
Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Obtains and subsequently maintains required department specific competencies and certifications. Certification in Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement and Integrity (C-CDI) preferred. Quality improvement/assurance personnel with nursing backgrounds can maintain their license without seeking additional hours based on role’s responsibilities.
Benefits
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit <a href="https://sanfordcareers.com/benefits" target="_blank">https://sanfordcareers.com/benefits</a> .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to <a href="mailto:talent@sanfordhealth.org" target="_blank">talent@sanfordhealth.org</a> .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
Req Number: R-0219054 
Job Function: Care Coordination 
Featured: No

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