Documentation Specialist jobs in United States
Explore 22 matching jobs.
RN Clinical Documentation Specialist Lead – Quality Reviewer
Ochsner Health
Posted: 10/21/2026Documentation Improvement Specialist, CDI
NewYork-Presbyterian Hospital
Posted: 10/21/2026Documentation Specialist III
Axos Bank
Posted: 10/14/2026Technical Product Documentation Specialist
CCC Intelligent Solutions
Posted: 10/14/2026Documentation Management Specialist
Pinnacle Home Care
Posted: 10/13/2026Interface Specialist – ICD Documentation
Dhaka Technologies Limited Company
Posted: 10/10/2026DME Documentation Specialist
ACU-Serve
Posted: 10/8/2026Technical Documentation Specialist
ERMCO-ECI
Posted: 10/5/2026Documentation Specialist – Health Care
Pinnacle Home Care
Posted: 9/29/2026Technical Documentation Specialist
City National Bank of Florida
Posted: 9/28/2026Documentation Specialist – Health Care
Pinnacle Home Care
Posted: 9/25/2026R&D Assay Documentation Specialist
Ambry Genetics
Posted: 9/25/2026Documentation Specialist
WEP Clinical
Posted: 9/25/2026Documentation Specialist – Health Care
Pinnacle Home Care
Posted: 9/25/2026Documentation Specialist
DISA Global Solutions, Inc.
Posted: 9/22/2026Documentation Management Specialist
Pinnacle Home Care
Posted: 9/18/2026Documentation Specialist
NOV
Posted: 9/18/2026Documentation Specialist
AdaptHealth
Posted: 9/18/2026R&D Assay Documentation Specialist
Tempus AI
Posted: 9/17/2026Documentation Specialist – Health Care
Pinnacle Home Care
Posted: 9/17/2026Documentation Specialist - Home Health Care
Pinnacle Home Care
Posted: 9/17/2026
RN Clinical Documentation Specialist Lead – Quality Reviewer
Ochsner HealthCore Competencies
Role fitUse this summary to align your resume positioning with the role.
Demonstrates advanced clinical expertise and extensive knowledge of complex disease processes, with a focus on Clinical Documentation Improvement and effective communication with internal and external customers. Proficient in operational reporting and departmental workflow management to support performance improvement initiatives.
About the role
Key responsibilities & impact- Serve as liaison between CDI Department customers and CDI Leadership
- Act as a clinical and technical resource for CDS staff
- Answer questions and provide guidance on non-administrative issues
- Observe, report, prioritize, and reroute daily departmental workflow under leadership direction
- Run operational reports and forward key metrics to leadership at scheduled intervals
- Facilitate special record reviews, projects, and customer requests
- Perform medical record reviews throughout patient stays for documentation completeness and accuracy
- Communicate with internal and external customers
- Provide consultation and education to departmental staff
- Support and participate in physician/hospital performance improvement initiatives
- Assist the department manager with departmental initiatives
- Perform other related duties as required
Requirements
What you’ll need- Completion of a formal training program in Nursing
- Current State of Louisiana Registered Nurse License
- 3 years of clinical experience in an acute care setting, including experience in Clinical Documentation Improvement
- Advanced clinical expertise and extensive knowledge of complex disease processes with broad inpatient clinical experience
- Computer skills and dexterity for patient-information data entry and retrieval
- Proficiency with Windows-style applications and keyboard
- Effective verbal and written communication skills
- Broad-based clinical knowledge and understanding of pathology/physiology of disease processes
- Strong organizational skills
- Self-directed
- Bachelor’s degree in Nursing preferred
- Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) preferred
Benefits
Comp & perks- Equal Opportunity Employer
- Reasonable accommodations for individuals with disabilities
- Remote work arrangement for eligible locations
ATS Keywords
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