clinical documentation consultant

Valley Medical Center

<div></div><div><div><div><ul><li><h6 class="jobSectionHeader"><b>Job Title:</b></h6>
 Clinical Documentation Specialist
</li><li><h6 class="jobSectionHeader"><b>Req:</b></h6>
 2026-0293
</li><li><h6 class="jobSectionHeader"><b>Location:</b></h6>
 VMC Main Campus
</li><li><h6 class="jobSectionHeader"><b>Department:</b></h6>
 Health Information Mgmt
</li><li><h6 class="jobSectionHeader"><b>Shift:</b></h6>
 Days
</li><li><h6 class="jobSectionHeader"><b>Type:</b></h6>
 Full Time
</li><li><h6 class="jobSectionHeader"><b>FTE:</b></h6>
 1
</li><li><h6 class="jobSectionHeader"><b>Hours:</b></h6>
</li><li><h6 class="jobSectionHeader"><b>City State:</b></h6>
 Renton, WA
</li><li><h6 class="jobSectionHeader"><b>Salary Range:</b></h6>
 Min $94,894 - Max $142,341/annual DOE</li></ul></div></div><br>
<br>
<br>
<br>
<p></p><p><b>Job Description:</b></p>
<p>VALLEY MEDICAL CENTER</p>
<p>
</p><p><b>JOB DESCRIPTION</b></p>
<p>
</p><p>The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization.</p>
<p>
</p><p><b>TITLE:</b> Clinical Documentation Specialist RN</p>
<p>
</p><p><b>JOB OVERVIEW:</b> The Clinical Documentation Specialist position facilitates accurate documentation for severity of illness and quality in the medical record. This involves extensive record review, interaction with physicians, health information management professionals, and nursing staff. Active participation in team meetings and education of staff in the documentation improvement process is a key role.</p>
<p>
</p><p><b>DEPARTMENT:</b> Health Information Management</p>
<p>
</p><p><b>HOURS OF</b> <b>WORK:</b> Days Monday - Friday.</p>
<p>
</p><p><b>RESPONSIBLE TO:</b> Manager, Clinical Documentation Improvement</p>
<p>
</p><p>PREREQUISITES:</p>
<div>
<ul><li><p>Current unrestricted WA State Registered Nurse license, required.</p>
</li></ul>
<ul><li><p>Bachelor's degree in Nursing, preferred.</p>
</li></ul>
<ul><li><p>Minimum five years recent clinical experience as an RN working in an acute care setting or with experience in Utilization Review</p>
</li></ul>
<ul><li><p>Pass a pre-hire Clinical Exam with a minimum score of 70%</p>
</li></ul>
<ul><li><p>Effective communication with Providers</p>
</li></ul>
</div><p></p><p>QUALIFICATIONS:</p>
<div>
<ul><li><p>Knowledge of hospital clinical practice standards for physicians and other health care providers.</p>
</li></ul>
<ul><li><p>Knowledge of ancillary service departments, quality control and safety standards.</p>
</li></ul>
<ul><li><p>Critical thinking, problem solving and deductive reasoning skills.</p>
</li></ul>
<ul><li><p>Familiarity with health care audit and research design.</p>
</li></ul>
<ul><li><p>Knowledge of Pathophysiology and Disease process.</p>
</li></ul>
<ul><li><p>Functional knowledge of DRG coding systems.</p>
</li></ul>
<ul><li><p>Working experience with Utilization Review activities and general knowledge of JCAHO, PRO, HCFA, and other regulatory bodies.</p>
</li></ul>
<ul><li><p>Knowledge of third-party payer review, reimbursement systems and utilization monitoring requirements for acute care facilities.</p>
</li></ul>
<ul><li><p>Meet productivity guidelines.</p>
</li></ul>
<ul><li><p>Ability to learn/develop the skills necessary to perform and meet goal standards</p>
</li></ul>
<ul><li><p>Organizational, analytical, writing, and interpersonal skills</p>
</li></ul>
<ul><li><p>Dependable, self-directed, and pleasant</p>
</li></ul>
<ul><li><p>Critical thinking, problem solving and deductive reasoning skills</p>
</li></ul>
<ul><li><p>Knowledge of Pathophysiology and Disease Process</p>
</li></ul>
<ul><li><p>Basic Computer skills - familiarity with Windows based software programs</p>
</li></ul>
<ul><li><p>Knowledge of regulatory environment</p>
</li></ul>
<ul><li><p>Understand and support documentation strategies (upon completion of training)</p>
</li></ul>
<ul><li><p>Knowledge of Core Measure and Patient Safety Indicators (upon completion of training)</p>
</li></ul>
</div><p></p><p>UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS:</p>
<p>
See Generic Job Description for Administrative Partner.</p>
<p>
</p><p>PERFORMANCE RESPONSIBILITIES:</p>
<p>
A. Generic Job Functions: <i>See Generic Job Description for Administrative Partner.</i></p>
<p>
B. Essential Responsibilities and Competencies</p>
<div>
<ul><li><p>Reviews EMR for completeness and accuracy for severity of illness and quality using the documentation strategies.</p>
</li></ul>
<ul><li><p>Accurate and timely record review.</p>
</li></ul>
<ul><li><p>Recognize opportunities for documentation improvement.</p>
</li></ul>
<ul><li><p>Initiates severity worksheet for inpatients.</p>
</li></ul>
<ul><li><p>Formulate clinically credible documentation clarifications.</p>
</li></ul>
<ul><li><p>Request documentation clarifications as appropriate for SOI, Core Measures, and Patient Safety.</p>
</li></ul>
<ul><li><p>Effective and appropriate communication with physicians.</p>
</li></ul>
<ul><li><p>Timely follow up on all cases and resolution of those with clinical documentation clarifications.</p>
</li></ul>
<ul><li><p>Communicates with HIM staff and resolves discrepancies.</p>
</li></ul>
<ul><li><p>Accurate input of data for reconciliation of case.</p>
</li></ul>
<ul><li><p>Provide necessary information and education to physicians and staff to facilitate the appropriate documentation goals.</p>
</li></ul>
<ul><li><p>Identify any barriers to completion of documentation goals with appropriate interventions.</p>
</li></ul>
<ul><li><p>Review of regulations and coding guidelines through seminars, meetings, and materials.</p>
</li></ul>
<ul><li><p>In cooperation with the director of PFS/HIM, present education sessions to physicians and other VMC providers regarding documentation regulations and chart audit findings.</p>
</li></ul>
<ul><li><p>Maintains confidentiality of all accessible patient financial or medical records information.</p>
</li></ul>
<ul><li><p>Demonstrates the awareness of the importance of cost containment for the department. Provide suggestions regarding process or quality improvement opportunities to department manager.</p>
</li></ul>
<ul><li><p>Other duties as assigned to facilitate accurate, timely patient account management.</p>
</li></ul>
</div><p></p><p>Date Created: 5/18, updated 7/22</p>
<p>
Grade: NC11</p>
<p>
FLSA: E</p>
<p>
Cost Center: 8490</p><br>
<p><b>
Job Qualifications:</b></p>
<p>PREREQUISITES:</p>
<div>
<ul><li><p>Current unrestricted WA State Registered Nurse license, required.</p>
</li></ul>
<ul><li><p>Bachelor's degree in Nursing, preferred.</p>
</li></ul>
<ul><li><p>Minimum five years recent clinical experience as an RN working in an acute care setting or with experience in Utilization Review</p>
</li></ul>
<ul><li><p>Pass a pre-hire Clinical Exam with a minimum score of 70%</p>
</li></ul>
<ul><li><p>Effective communication with Providers</p>
</li></ul>
</div><p></p><p>QUALIFICATIONS:</p>
<div>
<ul><li><p>Knowledge of hospital clinical practice standards for physicians and other health care providers.</p>
</li></ul>
<ul><li><p>Knowledge of ancillary service departments, quality control and safety standards.</p>
</li></ul>
<ul><li><p>Critical thinking, problem solving and deductive reasoning skills.</p>
</li></ul>
<ul><li><p>Familiarity with health care audit and research design.</p>
</li></ul>
<ul><li><p>Knowledge of Pathophysiology and Disease process.</p>
</li></ul>
<ul><li><p>Functional knowledge of DRG coding systems.</p>
</li></ul>
<ul><li><p>Working experience with Utilization Review activities and general knowledge of JCAHO, PRO, HCFA, and other regulatory bodies.</p>
</li></ul>
<ul><li><p>Knowledge of third-party payer review, reimbursement systems and utilization monitoring requirements for acute care facilities.</p>
</li></ul>
<ul><li><p>Meet productivity guidelines.</p>
</li></ul>
<ul><li><p>Ability to learn/develop the skills necessary to perform and meet goal standards</p>
</li></ul>
<ul><li><p>Organizational, analytical, writing, and interpersonal skills</p>
</li></ul>
<ul><li><p>Dependable, self-directed, and pleasant</p>
</li></ul>
<ul><li><p>Critical thinking, problem solving and deductive reasoning skills</p>
</li></ul>
<ul><li><p>Knowledge of Pathophysiology and Disease Process</p>
</li></ul>
<ul><li><p>Basic Computer skills - familiarity with Windows based software programs</p>
</li></ul>
<ul><li><p>Knowledge of regulatory environment</p>
</li></ul>
<ul><li><p>Understand and support documentation strategies (upon completion of training)</p>
</li></ul>
<ul><li><p>Knowledge of Core Measure and Patient Safety Indicators (upon completion of training)</p></li></ul></div></div><p></p>

Clinical Documentation Specialist

DHR Health

<div><p>DHR Health - US:TX:Rio Grande City - Days
</p><p>Summary:<br>
<br>
</p><p><b>FLSA STATUS:</b><b> </b><b>Exempt</b><b> </b><b>Non-Exempt
</b></p><p></p><p><b>MISSION STATEMENT:
</b></p><p>Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.
</p><p></p><p><b>VISION:
</b></p><p>Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.<br>
</p><p></p><p><b>POSITION SUMMARY:
</b></p><p>The Primary role of a Clinical Documentation Specialist is to assist the physician with the complete documentation of patients&rsquo; charts. Clinical Documentation Specialists accompany the physician as he/she examines and interviews patients and then records the physician&rsquo;s observations and comments on either on paper or in an electronic medical record (EMR) depending on what the practice uses. Clinical Documentation Specialist will accompany physician on hospital rounds and consultations if required. All information is recorded in the presence of a physician, as dictated by the physician.<br>
</p><p></p><p><b>POSITION EDUCATION/ QUALIFICATIONS </b><b>:
</b></p><p>&middot; High School graduate or equivalency is preferred.
</p><p>&middot; Medical Terminology required.
</p><p>&middot; CNA or Medical Assistant certification from an accredited school preferred.
</p><p>&middot; Excellent customer service skills.
</p><p>&middot; Computer skills required with knowledge of Microsoft Office suite.
</p><p>&middot; Good written and verbal communication skills required.
</p><p>&middot; Bilingual &ndash; English/Spanish.
</p><p></p><p><b>JOB KNOWLEDGE/EXPERIENCE </b><b>:
</b></p><ul><li>One (1) year experience in a hospital or physician office setting is preferred
</li></ul><ul><li>Previous experience as a medical scribe preferred
</li></ul><ul><li>Demonstrates proficiency in Microsoft Office applications
</li></ul><ul><li>Previous experience with an EMR system preferred
</li></ul><ul><li>Must have excellent customer service and organizational skills
</li></ul><ul><li>Requires reasoning ability and good independent judgment<br>
</li></ul><p></p><p>Responsibilities:<br>
<br>
</p><p><b>POSITION RESPONSIBILITIES:
</b></p><ul><li>Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
</li></ul><ul><li>Keep track of laboratory tests, medications, and radiology tests ordered by the physician
</li></ul><ul><li>Gather data for physician review (i.e., laboratory results, faxed radiology reports, medical records)
</li></ul><ul><li>Coordinate communication between physicians and staff, make and answer telephone calls
</li></ul><ul><li>Document any consultations the physician makes to a patient&rsquo;s personal doctor, family members, on-call physician, or other members of the medical community
</li></ul><ul><li>Take vital signs and room patients as needed
</li></ul><ul><li>Accompany provider to hospital to document consults or hospital rounds as needed
</li></ul><ul><li>Provide patients with updates about waits and delays
</li></ul><ul><li>Document all procedures done by the physician, as dictated by the physician
</li></ul><ul><li>Responsible for documenting all diagnoses, treatment plans, prescriptions, and discharge/follow-up information for each patient
</li></ul><ul><li>Other duties as assigned<br>
</li></ul><p></p><p><b>LINES OF REPSONSIBILITIES </b><b>:
</b></p><p>(Chain-of-command)
</p><p>1. Clinic Manager 2. Director of DHR Health Clinics 3. Chief Ambulatory Officer<br>
</p><p></p><p>Other information:<br>
<br>
</p><p><b>CUSTOMER SERVICE:
</b></p><p>Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.<br>
</p><p></p><p><b>AGE SPECIFIC </b>:
</p><p>Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient&rsquo;s status and interpret the appropriate information needed to identify each patient&rsquo;s requirement relative to his or her age.
</p><p></p><p><b>AMERICANS WITH DISABILITIES ACT: (ADA) </b>:
</p><p></p><p>A. <b>Essential Duties </b>: Indicated by bold print within performance standards, preceding individual numbered criteria.
</p><p></p><p><b>The following table provides physical requirements that will be associated with, but not limited to, this position:
</b></p><p></p><div><div><div><div><p>Light/moderate lifting up to 20 lbs, from the floor to shoulder height.<br>
</p></div><div><p>Yes<br>
</p></div><div><p>Kneeling<br>
</p></div><div><p>Yes<br>
</p></div></div><br>
<div><div><p>Must be able to assist other employees with lifting more than 20 lbs.<br>
</p></div><div><p>Yes<br>
</p></div><div><p>Walking<br>
</p></div><div><p>Yes<br>
</p></div></div><br>
<div><div><p>Light/moderate carrying up to 20 lbs.<br>
</p></div><div><p>Yes<br>
</p></div><div><p>Standing/Squatting<br>
</p></div><div><p>Yes<br>
</p></div></div><br>
<div><div><p>Straight pulling<br>
</p></div><div><p>Yes<br>
</p></div><div><p>Sitting<br>
</p></div><div><p>Yes<br>
</p></div></div><br>
<div><div><p>Pulling hand over hand<br>
</p></div><div><p>Yes<br>
</p></div><div><p>Pushing<br>
</p></div><div><p>Yes<br>
</p></div></div><br>
<div><div><p>Repeated bending<br>
</p></div><div><p>Yes<br>
</p></div><div><p>Stooping/Bending<br>
</p></div><div><p>Yes<br>
</p></div></div><br>
<div><div><p>Reaching above shoulder<br>
</p></div><div><p>Yes<br>
</p></div><div><p>Climbing Stairs<br>
</p></div><div><p>Yes<br>
</p></div></div><br>
<div><div><p>Simple grasping<br>
</p></div><div><p>Yes<br>
</p></div><div><p>Climbing Ladders<br>
</p></div><div><p>No<br>
</p></div></div><br>
<div><div><p>Dual simultaneous grasping<br>
</p></div><div><p>Yes<br>
</p></div><div><p>Depth Perceptions needed<br>
</p></div><div><p>Yes<br>
</p></div></div><br>
<div><div><p>Ability to see<br>
</p></div><div><p>Yes<br>
</p></div><div><p>Identify Colors<br>
</p></div><div><p>Yes<br>
</p></div></div><br>
<div><div><p>Operating office equipment<br>
</p></div><div><p>Yes<br>
</p></div><div><p>Twisting<br>
</p></div><div><p>Yes<br>
</p></div></div><br>
<div><div><p>Operating mechanical equipment<br>
</p></div><div><p>Yes<br>
</p></div><div><p>Crawling<br>
</p></div><div><p>No<br>
</p></div></div><br>
<div><div><p>Ability to read and write<br>
</p></div><div><p>Yes<br>
</p></div><div><p>Ability to Count<br>
</p></div><div><p>Yes<br>
</p></div></div><br>
<div><div><p>Ability to hear verbal communication without aid<br>
</p></div><div><p>Yes<br>
</p></div><div><p>Operating Personal Vehicle<br>
</p></div><div><p>Yes<br>
</p></div></div><br>
<div><div><p>Ability to comprehend written/verbal communication<br>
</p></div><div><p>Yes<br>
</p></div><div><p>Other: Ability to deal with stress<br>
</p></div><div><p>Yes<br>
</p></div></div><br>
<div><div><p>OSHA Category<br>
</p></div><div><p>III<br>
</p></div></div><br>
</div></div><p></p><p>B. <b>Working Conditions </b><b>: </b>The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.
</p><p></p><p>C. <b>Occupational Exposure: </b>This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.
</p><p></p><p>D. <b>Aptitudes </b><b>: HIGH 1 2 3 4 5 6 LOW
</b></p><p></p><p><b>Intelligence: </b>General learning ability: The ability to &ldquo;catch on&rdquo; or understand instructions and underlying principles. Ability to reason and make judgments. <b>3
</b></p><p></p><p><b>Verbal: </b>Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. <b>3
</b></p><p></p><p><b>Numerical: </b>Ability to perform arithmetic operations quickly and accurately. <b>2
</b></p><p></p><p><b>Spatial: </b>Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to &ldquo;visualize&rdquo; objects or two or three dimensions, or to think visually of geometric forms. <b>2
</b></p><p></p><p><b>Form Perception: </b>Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. <b>3
</b></p><p></p><p><b>Clerical Perception: </b>Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. <b>2
</b></p><p></p><p><b>Motor Coordination: </b>Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. <b>3
</b></p><p></p><p><b>Finger Dexterity: </b>Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. <b>3
</b></p><p></p><p><b>Manual Dexterity: </b>Ability to move hands easily and skillfully. To work with hands in placing and turning motions. <b>3
</b></p><p></p><p><b>Eye-Hand-Foot Coordination: </b>Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. <b>3
</b></p><p></p><p><b>Color Discrimination: </b>Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. <b>3
</b></p><p></p><p>I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.
</p><p></p><p>If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.
</p><p></p><p>Employee Signature: ________________________________ Date: ____________________
</p><p></p><p>Transfer/Hire Date Effective: ________________________.</p></div>

Clinical Documentation Specialist - FT - Days - Cardiology (Dr. Menon - Rio Grande City)

Rochester Regional Health

<div><p><b>SUMMARY</b></p><p>
The CDS facilitates accurate documentation for severity of illness, expected risk of mortality, complexity of care and quality in the medical record. This involves extensive record review and interaction with members of the healthcare team and ancillary teams.</p><p></p><p><b>
STATUS: Full-time</b></p><p><b>
LOCATION: Remote</b></p><p><b>
DEPARTMENT: Clinical Documentation
</b></p><p><b>SCHEDULE: Day shift</b></p><p></p><p><b>
ATTRIBUTES</b></p><ul><li>Ability to learn/develop the skills necessary to perform the CDS role</li><li>Organizational, analytical, writing and interpersonal skills</li><li>Dependable, self-directed and pleasant</li><li>Critical thinking, problem solving and deductive reasoning skills</li><li>Knowledge of Pathophysiology and Disease Process</li><li>Basic Computer skills &ndash; familiarity with Windows based software programs</li><li>Knowledge of regulatory environment</li><li>Understand and support CDS documentation strategies (upon completion of training)</li><li>Understand and communicate differences between Medicare Part A and Part B guidelines and how they impact DRG assignments (upon completion of training)</li><li>Knowledge of Core Measure and Patient Safety Indicators (upon completion of training)</li><li>For Skilled Nursing Facility Only:</li></ul>
a. Understand Medicare Part A guidelines<br>
b. Understand the current FY SNF PPS Final Rule<br>
c. Understand the CMS Clinical Category Crosswalk tool for PDPM ICD-10-CM Mappings<br>
d. Understand the MDS Resident Assessment Instrument (RAI) Manual<br>
e. Ability to use the CMS PDPM Calculator Tool<div><br>
Minimum Qualifications:<br>
<ul><li>3-5 years of adult acute care experience in med/surg., critical care, emergency room, or PACU.</li><li>Registered nursing degree required, BSN preferred. Other clinical education may be considered, such as PA, NP, or MD.</li><li>Previous CDS experience preferred</li></ul></div><ul><li>For Skilled Nursing Facility Only:</li></ul>
a. 3 years of patient care, or CDI or Coding experience in an adult population, acute care or skilled nursing facility<br>
b. Registered Nursing Degree required, BSN preferred, or other clinical education may be considered such as LPN, PA, NP, or MD.<br>
OR a degree in Health Information Management (Associate&rsquo;s Degree with RHIT; Bachelor&rsquo;s Degree with RHIA)<p><br>
Required Licensure/Certification:<br>
RN, PA, NP, MBBS or MD prepared candidates.<br>
If hired after January 1, 2017: Must obtain CCDS certification within 30 months of hire.</p><p>
For Skilled Nursing Facility Only:<br>
Valid RN or LPN license, or other applicable professional license, or RHIT, or RHIA</p><p>
Rochester General Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran</p><p></p><p><b>
RESPONSIBILITIES</b></p><ul><li><ul><li>Reviews medical record for completeness and accuracy for severity of illness (SOI), risk of mortality (ROM), complexity of care, and quality</li><li>Accurate and timely record review</li><li>Recognize opportunities for documentation improvement</li><li>Formulate clinically credible documentation clarifications</li><li>Request documentation clarifications as appropriate for SOI, ROM, Complexity of Care, Core Measures, and Patient Safety</li><li>Effective and appropriate communication with physicians</li><li>Provides education to members of the patient care team regarding the CDS process.</li><li>Timely follow up on all cases and resolution of those with clinical documentation clarifications</li><li>Actively participate in Team Meetings</li><li>Manage multiple priorities</li><li>Communicates with HIM staff and resolves discrepancies</li><li>Accurate input of data into department software</li><li>For Skilled Nursing Facility Only:</li></ul>
a. Utilize the ICD-10-CM Official Guidelines for Coding &amp; Reporting and their application in the long-term healthcare setting.<br>
b. Utilize an ICD-10-CM indexing system to determine appropriate ICD-10-CM codes.<br>
c. Collaborate with the hospital and skilled nursing facility (SNF) team members to ensure documentation supports the most specified, appropriate, and billable ICD-10-CM code(s) for primary and secondary diagnoses (co-morbidities) to be assigned for a SNF authorization, and PPS assessments required under PDPM.</li></ul><p></p><p>
#RRHProfessional26</p><p></p><p><b>
EDUCATION:</b></p><p></p><p><b>
LICENSES / </b><b>CERTIFICATIONS:</b></p>
RN - Registered Nurse - New York State Education Department (NYSED)<p></p><p><b>
PHYSICAL REQUIREMENTS:</b></p>
S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.<p></p><p><b>
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.</b><b>
</b></p><p></p><p><b>Any physical requirements reported by a prospective employee and/or employee&rsquo;s physician or delegate will be considered for accommodations.
</b></p><p></p><p><b>PAY RANGE:</b></p>
$78,000.00 - $95,000.00<p></p><div><div><div><div><div><div><div><p><b>
CITY:</b></p></div></div></div></div></div></div></div>
Rochester<p></p><div><div><div><div><div><div><div><p><b>
POSTAL CODE:</b></p></div></div></div></div></div></div></div>
14621<p></p><p><b><i>
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.</i></b></p><p></p><p><b>
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.</b></p></div>

Encore Wound Care

<p><b>Job Overview</b><br/>The Clinical Document Coordinator is responsible for supporting provider credentialing and compliance activities by maintaining accurate records, monitoring licensure and certification expirations, and serving as a liaison between providers and the credentialing company. This role ensures all provider documentation is current, organized, and compliant with regulatory and organizational requirements.</p><p><b>Responsibilities</b></p><ul><li><b>Licensure &amp; Certification Tracking</b></li><li>Monitor and track expiration dates for all provider licenses, certifications, and registrations</li><li>Proactively notify providers of upcoming expirations and renewal requirements and collect updated documentation</li><li>Maintain accurate and up-to-date records of all licensure documentation</li><li>Verify insurance coverage and perform insurance eligibility checks using managed care protocols</li><li>Prepare and maintain accurate medical records in compliance with HIPAA regulations and organizational policies</li><li><b>CAQH Profile Management</b></li><li>Create, update, and maintain provider profiles within CAQH</li><li>Ensure all attestations are completed on time</li><li>Upload and verify accuracy of provider documents within the CAQH system</li><li><b>Document Management &amp; Compliance</b></li><li>Organize and maintain digital files for all provider credentials, including licenses, malpractice insurance, DEA, and certifications</li><li>Ensure all required documentation is current and audit-ready</li><li>Assist with internal and external audits by providing requested documentation</li><li><b>Credentialing Coordination</b></li><li>Serve as the primary point of contact between providers and the credentialing company</li><li>Track credentialing application statuses and follow up as needed</li><li>Communicate any missing or incomplete items to providers promptly</li><li><b>Administrative Support</b></li><li>Maintain tracking logs and spreadsheets related to credentialing and compliance</li><li>Assist with onboarding new providers by gathering and organizing required documentation</li><li>Support ongoing compliance initiatives and process improvements</li></ul><p><b>Skills</b></p><ul><li>2+ years of administrative experience, preferably in healthcare or credentialing</li><li>Experience with CAQH and provider credentialing processes strongly</li><li>Experience with managed care processes and insurance verification procedures</li><li>Familiarity with HIPAA regulations to safeguard patient privacy and confidentiality</li><li>Previous medical office experience preferred for seamless integration into clinical workflows</li><li>Excellent organizational skills with attention to detail in record-keeping and documentation</li><li>Ability to communicate effectively with healthcare providers and internal teams, and 3rd party groups</li></ul><p>This role is perfect for motivated individuals eager to grow within the healthcare administration field. Join us in delivering exceptional patient care through efficient administrative support!</p><p>Pay: $18.00 - $22.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Clinical Document Coordinator

LTC Consulting

<p><b>Experienced Consultant Pharmacist &ndash; Skilled Nursing Facility (SNF)-Central Florida</b></p><p>We are seeking a highly skilled and detail-oriented Consultant Pharmacist to provide clinical and regulatory oversight for our Skilled Nursing Facility (SNF). The Consultant Pharmacist is responsible for ensuring safe, effective, and compliant medication use for all residents, in accordance with federal and state regulations, including CMS guidelines.</p><p>This role involves performing monthly medication regimen reviews (MRRs), identifying and resolving medication-related issues, and providing clear, actionable recommendations to the interdisciplinary team. The Consultant Pharmacist plays a key role in supporting quality assurance and performance improvement (QAPI) initiatives, reducing survey risk, and enhancing resident outcomes.</p><p>The ideal candidate will have strong clinical knowledge in geriatrics, excellent communication skills, and a deep understanding of long-term care regulations, including psychotropic medication management, gradual dose reductions (GDRs), and documentation standards. This position may also include staff education, policy development, and participation in facility committees.</p><p><b>Key Responsibilities:</b></p><ul><li>Conduct monthly medication regimen reviews and document findings per regulatory requirements</li><li>Identify adverse drug events, unnecessary medications, and opportunities for optimization</li><li>Provide recommendations to physicians and nursing staff</li><li>Ensure compliance with CMS, state, and facility policies</li><li>Support QAPI initiatives and survey readiness</li><li>Educate staff on medication safety and best practices</li></ul><p><b>Qualifications:</b></p><ul><li>Active Consultant Pharmacist license for Florida</li><li>Experience in long-term care or consultant pharmacy</li><li>Strong knowledge of CMS regulations and SNF standards</li><li>Excellent clinical judgment and communication skills</li></ul><p>Pay: $56.82 - $68.43 per hour</p><p>Work Location: Remote</p>

Consultant Pharmacist

Woodston Personnel Ltd.

<div><p>Woodston Personnel is seeking an experienced <b>Consultant in Geriatric Medicine</b> to join the team of a leading hospital in Saudi Arabia. The Consultant Geriatrician provides expert, patient-centered care for older adults with complex medical, functional, cognitive, and social needs. This role involves leading multidisciplinary teams, delivering inpatient and outpatient geriatrics services, supporting community-based care, and contributing to service development, teaching, and research.</p><p><b>
Duties and Responsbilities</b></p><ul><li>
Provide specialist assessment and management for older adults with multimorbidity, frailty, polypharmacy issues, functional decline, cognitive impairment, and geriatric syndromes.</li><li>
Lead Comprehensive Geriatric Assessments (CGA) in inpatient, outpatient, emergency, and community settings.</li><li>
Manage acute and chronic medical conditions common in the elderly, including falls, delirium, dementia, stroke, mobility disorders, and end-of-life care needs.</li><li>
Lead ward rounds in geriatric wards, frailty units, acute medical units, orthogeriatric services, or rehabilitation settings as appropriate.</li><li>
Support perioperative medicine for older or high-risk surgical patients, collaborating with surgery and anesthesia teams.</li><li>
Participate in on-call rota for acute or general medical services as required.</li><li>
Coordinate safe discharge planning and continuity of care with community, social care, and rehabilitation services.</li><li>
Lead and supervise multidisciplinary teams including nurses, therapists, social workers, pharmacists, and case managers.</li><li>
Develop and implement clinical pathways and protocols for frailty, falls, dementia, delirium, and complex discharge management.</li><li>
Contribute to strategic planning, quality improvement, and service redesign to enhance care for older adults.</li><li>
Participate in governance, risk management, morbidity and mortality reviews, and departmental committees.</li><li>
Collaborate with community, primary care, and long-term care services to strengthen integrated geriatric care.</li><li>
Supervise and mentor junior doctors, geriatric medicine trainees, students, and allied health professionals.</li><li>
Provide formal and informal teaching on topics related to ageing, geriatrics, and general internal medicine.</li><li>
Contribute to educational programs, curriculum development, and professional development activities.</li><li>
Provide compassionate, person-centered communication with patients and their families regarding diagnoses, treatment options, prognosis, advance care planning, and goals of care.</li><li>
Facilitate family meetings, complex decision-making, and discussions around capacity, consent, and safeguarding.</li><li>
Ensure robust documentation and communication across care teams.</li><li>
Participate in or lead clinical research, audits, and academic activities relevant to geriatrics.</li><li>
Support data collection, clinical governance, and evidence-based improvements in elderly care services.</li><li>
Present findings through conferences, publications, or internal forums.</li><li>
Maintain accurate and timely clinical documentation in medical records and electronic systems.</li><li>
Attend departmental meetings, multidisciplinary conferences, and clinical governance sessions.</li><li>
Contribute to audit cycles, service evaluations, and policy development.</li><li>
Assist with rota planning and departmental organizational tasks where required.</li></ul><p>
Full time contracts with excellent renumeration and benefits available</p><p>
Please apply with your CV to register your interest in this role.</p><p><br>
MBBS or equivalent medical qualification</p><p>
US Board/ FRCS - Irish, UK, Canadian, New Zealand or Australian/ Diploma d'Etudes Specialises (DES)/ CIS French Board/ Fachart &amp; Sub- Board/ Fellowship / Board / Fellowship / Sweden / Belgium / Finland / Spain</p><p>
Must have at least 3-5 years of post-consultant or senior specialist experience</p><p>
Eligible for consultant licensure with the Saudi Commission for Health Specialties (SCFHS)</p></div>

Consultant in Geriatric Medicine

SearchPlus HR

<div><p>SearchPlus HR is excited to present an exclusive opportunity for a Consultant - Specialist in Cardiac Electrophysiology to join a prestigious Private Healthcare Facility. This role offers the chance to practice in a state-of-the-art environment, delivering high-quality cardiac care to a diverse patient population.</p><p>
As a Consultant - Specialist, you will be responsible for diagnosing and managing complex arrhythmias, performing advanced electrophysiology studies, and undertaking catheter ablation procedures. You will work collaboratively with a multidisciplinary team to develop individualized treatment plans that prioritize patient safety and optimize clinical outcomes.</p>
Key Responsibilities:<ul>
<li>Conduct comprehensive evaluations and diagnoses of patients with complex cardiac rhythm disorders</li>
<li>Perform electrophysiology procedures including diagnostic studies and catheter ablations</li>
<li>Develop and implement patient-centered treatment strategies in collaboration with healthcare teams</li>
<li>Maintain meticulous clinical documentation and adhere to regulatory standards</li>
<li>Stay abreast of the latest advancements in cardiac electrophysiology and contribute to continuous improvement</li><br>
</ul><br>
<br>
<b>Requirements</b><br>
<ul>
<li>Medical degree (MD or DO) with valid licensure for clinical practice</li>
<li>Board certification in Cardiac Electrophysiology is mandatory</li>
<li>Proven experience in a private healthcare setting is preferred</li>
<li>Expertise in performing and interpreting complex electrophysiology studies and ablation techniques</li>
<li>Excellent communication skills for effective patient and team collaboration</li>
<li>Strong clinical judgment, analytical skills, and detail orientation</li>
<li>Ability to work independently and lead multidisciplinary teams</li>
<li>Commitment to ongoing professional development and excellence in patient care</li><br>
</ul><br>
<br>
<b>Benefits</b><br>
<ul>
<li>Private Health Insurance</li>
<li>Training &amp; Development</li>
<li>Performance Bonus</li></ul></div>

Consultant - Specialist Cardiac Electrophysiology- Private Healthcare Facility

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