clinical documentation improvement specialist

Berkeley Research Group, LLC

<div><h2 class="jobSectionHeader">We do Consulting Differently
</h2>The Integrated Health Solutions (IHS) practice at Berkeley Research Group (BRG) provides end-to-end advisory support to healthcare providers, payers, investors, and other stakeholders navigating complex strategic, operational, financial, and clinical challenges. Led by seasoned healthcare executives, operators, and clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth design, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy&mdash;helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment.
 Our four core service offerings include:
<ul><li>Business Transformation Advisory
</li><li>Margin &amp; Operational Improvement
</li><li>Quality Improvement &amp; Clinical Care
</li><li>AI &amp; Digital Solutions
</li></ul>Clinical and Quality Transformation (CQT) helps providers improve care for their patients by implementing evidence-based leading practices to enhance clinical quality, operational efficiency, and care delivery.
CQT&rsquo;s broad-based engagements help providers transform how they deliver care through a combination of reduced complications and mortality, optimizing surgery quality and operations, improved throughput and length-of-stay reduction, improved emergency department performance, quality infrastructure enhancements, and more accurate clinical coding and documentation&mdash;helping organizations deliver better patient care and outcomes while most effectively utilizing their clinical resources and infrastructure.
The Managing Consultant works closely with the client&rsquo;s CDI team, supporting classroom education and mentoring. They are responsible for ensuring the successful transfer of CDI best practices from the consulting team to the client team. The Managing Consultant also facilitates accurate documentation for severity of illness (SOI) and quality in the medical record, which involves extensive record review and interaction with physicians, health information management professionals, coding professionals, and nursing staff. Managing Consultants are expected to demonstrate leadership, manage multiple projects, and contribute to business development and staff development initiatives.
Willing to travel consistently (50% - 75%), depending on project requirements and client expectations, is required for this position.
Responsibilities
<ul><li>Demonstrate extensive knowledge of clinical documentation requirements, coding guidelines, and workflows applicable to inpatient and outpatient/physician settings.
</li><li>Conduct comprehensive inpatient medical record reviews for identified payer populations upon admission and throughout hospitalization.
</li><li>Serve as an educational resource to client CDI teams, delivering classroom education, hands-on teaching, and ongoing mentoring.
</li><li>Develop and deliver training to physicians, nurses, coding professionals, and ancillary staff on documentation best practices.
</li><li>Analyze clinical information to identify gaps in documentation related to SOI, POA, MS-DRG, APR-DRG, PSI, and quality measures.
</li><li>Formulate credible and compliant documentation clarifications.
</li><li>Work collaboratively with coding teams to ensure accuracy and completeness of documentation and diagnoses.
</li><li>Support clinical staff in understanding documentation needs through frequent interaction and coaching.
</li><li>Provide high-quality input for client deliverables and contribute to expert reports.
</li><li>Provide interim CDS support as needed.
</li><li>Assist in developing CDI and HIM training tools, methodologies, and education materials.
</li></ul>Qualifications
<ul><li>Bachelor&rsquo;s degree in a related discipline preferred (RN, BSN, RHIA, RHIT, HIM, or similar).
</li><li>4-8 years of experience as a CDI specialist, inpatient coder, physician coder, or CDI consultant (or a blend) is required.
</li><li>Prior consulting experience is highly preferred.
</li><li>Experience across multiple specialties and care settings; academic medical center exposure strongly preferred.
</li><li>Prior inpatient coding experience (ICD10CM/PCS); outpatient/physician coding a strong plus.
</li><li>Deep knowledge of documentation, coding, and compliance regulations.
</li><li>Strong understanding of DRG, MSDRG, APRDRG, and HCC methodologies.
</li><li>Desire to grow within the CDI consulting space while cross-collaborating with other IHS service lines is necessary.
</li><li>Strong ability and enthusiasm for teaching, mentoring, and delivering education to clients and internal teams.
</li><li>Current CCDS, CCS, or CDIP certification (or willingness to obtain) is required.
</li><li>RHIA, RHIT, CRC, CPC, or other coding credentials are highly preferred.
</li><li>Experience using EMRs such as Epic, Meditech, Cerner, 3M 360, etc.
</li><li>Ability to translate clinical and coding concepts into clear, actionable education.
</li><li>Excellent critical thinking, communication, presentation, and analytical skills.
</li><li>Strong proficiency in MS Office (Word, PowerPoint, Excel, Outlook).
</li><li>Excellent time management skills and ability to balance multiple priorities.
</li><li>A self‑starter with the ability to work effectively in an ambiguous, rapidly evolving consulting environment.
</li></ul>Salary Range: $120,000 &ndash; $165,000 per year
Job title and compensation will be determined based on qualifications and experience.
Candidate must be able to submit verification of his/her legal right to work in the United States, without company sponsorship.
About BRG 
 
BRG combines world-leading academic credentials with world-tested business expertise and purpose-built emerging technologies. Our culture centers on agility and connectivity which sets us apart and gets you ahead. 
At BRG, our professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a diversity of real-world experience, data, and human and artificial intelligence, to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges facing organizations across the globe. 
Our unique structure nurtures the interdisciplinary relationships that give us the edge, laying the groundwork for more informed insights and more original, incisive thinking. When paired with our global reach and resources, our diverse perspectives and technical capabilities make us uniquely capable to address our clients&rsquo; challenges. We get results because we know how to apply our thinking to your world. 
At BRG, we don&rsquo;t just show you what&rsquo;s possible. We&rsquo;re built to help you make it happen. 
 
BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.</div>

Managing Consultant – Clinical Documentation Integrity (CDI) – Healthcare

White Oak Management, Inc.

Overview Join our dynamic healthcare team as an Assistant Director of Nursing / MDS Coordinator, where you will play a pivotal role in ensuring exceptional patient care and compliance with regulatory standards. This energetic position offers the opportunity to lead clinical documentation improvement initiatives, coordinate comprehensive assessments, and oversee medical records management within a fast-paced, multidisciplinary environment. Your expertise will directly impact patient outcomes, operational efficiency, and adherence to industry standards such as NCQA and HIPAA. If you thrive in a collaborative setting and possess a passion for nursing excellence and healthcare management, this role is your next career milestone!Duties<ul><li>This is an on-call role features an on-call rotation schedule.</li><li>Lead the development and implementation of the Minimum Data Set (MDS) assessments to ensure accurate and timely completion in compliance with federal regulations.</li><li>Coordinate interdisciplinary team efforts to optimize patient care planning, discharge planning, and clinical documentation improvement.</li><li>Oversee medical records management, ensuring accuracy, completeness, and confidentiality in accordance with HIPAA standards.</li><li>Utilize advanced EMR (Electronic Medical Record) systems such as Ecin, Epic, or PCC to review medical documentation, coding, and clinical data.</li><li>Conduct utilization review and utilization management activities to support appropriate resource allocation and reimbursement processes including Medicare and managed care programs.</li><li>Collaborate with nursing staff on CPT coding, ICD-9/10 coding, DRG assignment, and medical documentation review to enhance coding accuracy and reimbursement.</li><li>Facilitate training sessions on healthcare regulations, ICD coding updates, and documentation best practices for clinical staff.</li><li>Assist in case management activities like discharge planning for hospice care or outpatient services to ensure seamless patient transitions across care settings.</li></ul>Experience<ul><li>Proven experience in nursing leadership roles with a focus on MDS coordination or clinical documentation improvement within long-term care facilities or hospitals.</li><li>Extensive knowledge of Epic EMR systems used for medical records management.</li><li>Demonstrated expertise in ICD-10/ICD-9 coding, CPT coding, DRG assignment, and Medicare regulations related to inpatient and outpatient billing processes.</li><li>Strong background in managed care environments with familiarity in utilization review and utilization management processes.</li><li>Critical care experience preferred along with nursing home experience or hospital-based acute care exposure.</li><li>Familiarity with healthcare quality standards such as NCQA standards; experience supporting clinical documentation improvement initiatives is highly desirable.</li><li>Knowledge of physiology, anatomy, medical terminology, HIPAA compliance requirements, and health information management practices essential for success.</li><li>Excellent communication skills combined with the ability to train multidisciplinary teams on complex documentation procedures while maintaining a lively enthusiasm for continuous improvement. Embark on a rewarding career journey where your leadership enhances patient outcomes through meticulous documentation and innovative healthcare solutions!</li></ul>Pay: Up to $45.00 per hourBenefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Assistant Director of Nursing / MDS Coordinator

Trinity Health

<div>
 
 Employment Type
 
 
 
 Full time
 
 
 
 Shift
 
 
 
 Day Shift
 
 
 
 Description
 
 
 
 This is a M-F, 8a-5p remote position that requires certification. For the Holy Cross Medical Group this individual performs charge entry, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers and checking clinical documentation. Works closely with Revenue Integrity staff and providers to educate on improved documentation to support coding. Neurosurgery experience is highly preferred. CPC license is REQUIRED.
 
 
 
 What You Will Do
 
 
 
 Responsible for coding and/or validation of charges for more complex service lines, advanced proficiencies in surgical or specialty coding practice.
 
 
 Review chart, including nursing notes, physician orders, progress notes, and surgical or specialty notes thoroughly to interpret and validate and/or extract all charges. Ensure each chart is complete according to specified guidelines. Ensure charges captured on the correct patient, correct encounter, correct date of service, with any required modifiers.
 
 
 Review documentation, abstracts data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Ensure medical documentation and coding compliance with Federal, State and Private payer regulations. a. Perform coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review b. Responsible for proofing daily charges for accuracy and clean claim submission c. Responsible for balancing charges and adjustments d. Maintain productivity standards e. Maintain compliance with regulatory requirements
 
 
 Responsible for denial coordination with Patient Business Service (PBS) centers, including analysis of clinical documentation, assisting in appeals, root cause analysis and tracking as needed. 6. Educates clinical staff on need for accurate and complete documentation to ensure revenue optimization and integrity.
 
 
 Educate clinical staff on need for accurate and complete documentation to ensure revenue optimization and integrity.
 
 
 Perform outpatient clinical documentation improvement review (acute only) as needed.
 
 
 Perform research on charges and communicate findings to intra and inter-departmental colleagues.
 
 
 Maintain a minimum productivity standard, based on service line and charge type; including but not limited to, chart review, charge extraction, E&amp;M level assignment and charge entry.
 
 
 
 Minimum Qualifications
 
 
 
 Other related responsibilities as assigned by manager.
 
 
 <ul>
 <li>
 High school diploma or equivalent combination of education and experience.
 </li>
 <li>
 Minimum three (3) years of relevant coding and charge control work experience in a Hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services.
 </li>
 <li>
 Strong working knowledge of medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations.
 </li>
 <li>
 Licensure / Certification: CPC license required.
 </li>
 <li>
 Neurosurgery experience preferred
 </li>
 <li>
 Must possess a demonstrated knowledge of clinical processes, clinical coding (CPT, HCPCS, ICD-9/10, revenue codes and modifiers), charging processes and audits, and clinical billing. Strong understanding of various medical claim formats.
 </li>
 <li>
 Knowledge of clinical documentation improvement processes strongly preferred.
 </li>
 <li>
 Strong knowledge of Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and pre-bill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Note Final Billed (DNFB).
 </li>
 <li>
 Ability to perform charge capture processes, including understanding technical integration of electronic medical record and the automation of charge triggers, and ability to investigate charge errors accordingly. Epic experience desired.
 
 
 </li>
 </ul>
 
 Position Highlights And Benefits
 
 
 
 <ul>
 <li>
 Comprehensive benefit packages available, including medical, dental, vision, paid time off, 403B, and education assistance.
 </li>
 <li>
 Comprehensive benefits that start on your first day of work
 </li>
 <li>
 Retirement savings program with employer matching
 </li>
 <li>
 We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
 </li>
 <li>
 We live and breathe our guiding behaviors: we support each other in serving, we communicate openly, honestly, respectfully, and directly, we are fully present, we are all accountable, we trust and assume goodness in intentions, and we are continuous learners.
 
 
 </li>
 </ul>
 
 Ministry/Facility Information
 
 
 
 <ul>
 <li>
 A member of Trinity Health, one of the largest multi-institutional Catholic health care delivery systems in the nation, Fort Lauderdale-based Holy Cross Hospital, dba Holy Cross Health, is a full-service, not-for-profit, Catholic, teaching hospital operating in the spirit of the Sisters of Mercy.
 </li>
 <li>
 We are the only not-for-profit Catholic hospital in Broward and Palm Beach counties.
 </li>
 <li>
 Through strategic collaborations and a commitment to being a person-centered, transforming, healing presence, the 557-bed hospital offers progressive inpatient, outpatient and community outreach services and clinical research trials to serve as our community&rsquo;s trusted health partner for life. We are committed to providing compassionate and holistic person-centered care.
 
 
 </li>
 </ul>
 
 Legal Info
 
 
 
 We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
 
 
 
 Our Commitment
 
 
 
 Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
</div>

Coding Specialist - CPC Required

Rochester Regional Health

<div>SUMMARY
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.
STATUS: Full-time
LOCATION: Remote
DEPARTMENT: Clinical Documentation
SCHEDULE: Day shift
ATTRIBUTES<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 
b. Understand the current FY SNF PPS Final Rule 
c. Understand the CMS Clinical Category Crosswalk tool for PDPM ICD-10-CM Mappings 
d. Understand the MDS Resident Assessment Instrument (RAI) Manual 
e. Ability to use the CMS PDPM Calculator Tool<div> 
Minimum Qualifications: 
<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 
b. Registered Nursing Degree required, BSN preferred, or other clinical education may be considered such as LPN, PA, NP, or MD. 
OR a degree in Health Information Management (Associate&rsquo;s Degree with RHIT; Bachelor&rsquo;s Degree with RHIA) 
Required Licensure/Certification: 
RN, PA, NP, MBBS or MD prepared candidates. 
If hired after January 1, 2017: Must obtain CCDS certification within 30 months of hire.
For Skilled Nursing Facility Only: 
Valid RN or LPN license, or other applicable professional license, or RHIT, or RHIA
Rochester General Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran
RESPONSIBILITIES<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. 
b. Utilize an ICD-10-CM indexing system to determine appropriate ICD-10-CM codes. 
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>
#RRHProfessional26
EDUCATION:
LICENSES / CERTIFICATIONS:
RN - Registered Nurse - New York State Education Department (NYSED)
PHYSICAL REQUIREMENTS:
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.
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.
Any physical requirements reported by a prospective employee and/or employee&rsquo;s physician or delegate will be considered for accommodations.
PAY RANGE:
$78,000.00 - $95,000.00<div><div><div><div><div><div><div>
CITY:</div></div></div></div></div></div></div>
Rochester<div><div><div><div><div><div><div>
POSTAL CODE:</div></div></div></div></div></div></div>
14621
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.
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.</div>

Clinical Documentation Specialist

North Memorial Health

<div></div><div><div><div><div><div><div>Requisition Number: 513291
</div>
</div> 
</div></div><div><div><div><div>Why North Memorial Health?
At North Memorial Health, you&rsquo;re part of an inclusive health team that is rooted in our values: Advocate Courageously, Rally Together, Respect Uniqueness and Create Impact. Empathy and care are at the heart of North&rsquo;s culture which is designed to actively support each team member&rsquo;s wellbeing and growth. Our strength lies in our diversity, and we embrace the unique contributions and experiences of each person. Together, we empower patients to achieve their best health.

Our health system encompasses two hospital locations in Robbinsdale and Maple Grove as well as a network of 23 clinics which includes 13 primary clinics, 6 specialty clinics, 4 urgent care/urgency centers and emergency care offerings covering five counties. Our Robbinsdale Hospital, established in 1954, is a 385-bed facility recognized as the top Level 1 Trauma center for 25 years, as well as serving as a Level II pediatric trauma center. Our Maple Grove Hospital was established in 2009, is a 134-bed facility recognized as a top hospital in the state for Women and Children Care, with a Level III NICU, and is the largest Family Birth Center in the state (~5,000 deliveries per year and over 60,000 babies delivered). Both have been named to the 2022 Fortune/Merative 100 Top Hospitals&reg; list, 2023 Women&rsquo;s Choice Award Best Hospitals list.

Benefits the North Way!

As North Memorial Health is a non-profit organization you are eligible for the Public Student Loan Forgiveness program. Most part-time and all full-time positions are eligible for benefits.
<ul>
<li>Health &amp; Welfare Benefit Packages</li>
<li>401k Retirement Match or Pension Plan, based on workgroup eligibility</li>
<li>Generous Paid Time Off (PTO) Plans</li>
<li>Adoption Reimbursement up to $3000 per child</li>
<li>Child Care Discount Program with New Horizon 10% off weekly childcare tuition</li>
<li>Education/Tuition Reimbursement</li>
<li>24/7 Fitness Center Access for all benefit eligible team members</li>
</ul>
Commitment to Diversity, Equity &amp; Inclusion

At North Memorial Health we recognize that the strength of our team lies in our diversity and make every effort to embrace the unique contributions and experiences of each person on our team. We strive to ensure that everyone feels like they are a valuable part of our community, with initiatives that reinforce our belief in diversity, equity, and inclusivity, to promote a workforce that enables authenticity, as we want to be our best when providing effective services to our patients. We acknowledge and celebrate the unique traditions, backgrounds, languages, beliefs, and customs of our community, and want everyone to feel welcome. Through our DE&amp;I initiatives we hope to dispel myths, assumptions, and acts of implicit bias.

About this position

The Clinical Improvement Specialist performs clinical care coordination and oversight to ensure patient care staff is delivering highest level of appropriate patient care. 


Requirements

Education
<div><ul><li>Graduate from an accredited school of nursing</li><li>Associate's degree in nursing and 2 years of nursing experience or bachelor's degree in nursing required</li></ul> 
</div>Experience
<div><ul><li>1-2 years nursing experience required; 3+ preferred.</li><li>Previous leadership preferred.
</li></ul> 
Knowledge, Skills and Abilities 
<ul><li>Knowledge of nursing theory and practice.
</li><li>Ability to maintain quality, safety, and infection control standards.
</li><li>Knowledge of Primary Care Principles/Practices.
</li><li>Strong computer skills.</li></ul> 
</div>Licensure/Certification
<div><ul><li>Current licensure as RN in State of Minnesota</li><li>State Requirement</li><li>Current American Heart Association BLS
</li><li>certification or completion of training and certification during first 30 days of</li></ul>
employment 
<ul><li>NMHC Standard</li></ul></div> 
The North Memorial Health System is dedicated to building a diverse, inclusive, and authentic workplace, so if you&rsquo;re excited about this role, but your past experience doesn&rsquo;t perfectly align with every qualification listed, we encourage you to apply anyway. You may still be the right candidate for this or other roles.</div><div> 

Work Group: Non Contract

Hours per two week pay period: 80

Shift: Days 8 hours
Weekend Requirement: None

Call Requirement: None

Remote or On-site: On-site

FLSA Status: Exempt

Benefit Eligibility: Health insurance benefits are available for this position. North Memorial Health offers multiple health plans based on work group eligibility.

Salary Range: B24 ($42.29-$63.44), based on experience
Shift Differential: Compensation may include shift differential pay depending on the position and shift worked.

Employment Sponsorship: Applicants must be currently authorized to work in the United States on a full-time basis. Work visa sponsorship is not available for this position</div></div></div></div></div></div>

Clinical Improvement Specialist - Multiple Locations

Vetter Senior Living

<div>
 Added
 
 
 4/6/2026 10:01 AM
 
 
 
 Company
 
 
 
 Vetter Senior Living
 
 
 Website
 
 
 www.vetterseniorliving.com
 
 
 Job Title
 
 
 ICD 10 Nurse Specialist (RN)
 
 
 City
 
 
 Elkhorn
 
 
 Type
 
 
 Full Time
 
 
 
 Description
 
 
 
 At
 
 Vetter Senior Living
 
 , our Mission is
 
 Dignity in Life
 
 . We believe every person deserves to feel respected, supported, and cared for ? and that starts with the people who serve them. We?re currently seeking a
 
 Registered Nurse (RN)
 
 with a passion for accuracy, education, and collaboration to join our team as an
 
 ICD-10 Nurse Specialist
 
 , based in our
 
 Elkhorn, Nebraska home office
 
 .
 
 
 This position plays a key role in supporting
 
 Quality Care
 
 and
 
 Stewardship
 
 by ensuring accurate diagnosis coding that reflects residents? true clinical picture, supports regulatory compliance, and enables appropriate reimbursement. Through strong relationships, auditing, and education, the ICD-10 Nurse Specialist serves as a trusted resource across our communities.
 
 
 
 The ICD-10 Nurse Specialist Will
 
 
 
 <ul>
 <li>
 Serve as the ICD-10 subject matter expert for Vetter Senior Living operations
 </li>
 <li>
 Review and audit:
 </li>
 <ul>
 <li>
 Skilled and non-skilled admissions
 </li>
 <li>
 Diagnosis sheets and physician orders
 </li>
 <li>
 Therapy diagnosis documentation
 </li>
 </ul>
 <li>
 Ensure ICD-10 diagnoses are accurate, supported, and properly sequenced
 </li>
 <li>
 Identify trends contributing to billing errors, RTPs, or denials
 </li>
 <li>
 Provide targeted education and coaching to clinical and interdisciplinary teams
 </li>
 <li>
 Support annual and interim ICD-10 updates and documentation expectations
 </li>
 <li>
 Partner closely with Financial Services and Billing to support accurate reimbursement
 </li>
 <li>
 Promote collaboration, accountability, and process improvement across departments
 </li>
 <li>
 Work from the Elkhorn home office
 </li>
 <li>
 Travel up to 10% of the time
 </li>
 <li>
 Model the Mission, Vision and Values of Vetter Senior Living at all times
 
 </li>
 </ul>
 Additional Information
 
 
 
 Qualified Candidates Will
 
 
 
 <ul>
 <li>
 Have an active Registered Nurse (RN) license
 </li>
 <li>
 Possess a strong working knowledge of:
 </li>
 <ul>
 <li>
 ICD-10 diagnosis coding
 </li>
 <li>
 Skilled nursing and senior living operations
 </li>
 <li>
 Medicare reimbursement and billing processes
 </li>
 </ul>
 <li>
 Have the ability to review clinical documentation with attention to detail
 </li>
 <li>
 Possess strong written and verbal communication skills
 </li>
 <li>
 Be comfortable educating and supporting diverse teams
 </li>
 <li>
 Have a willingness to work on-site in Elkhorn and travel up to 10% as needed
 </li>
 <li>
 Be aligned with the Mission, Vision and Values of Vetter Senior Living
 
 </li>
 </ul>
 How to Apply
 
 
 
 Vetter Senior Living Offers
 
 
 
 <ul>
 <li>
 Meaningful work that directly supports resident care and clinical integrity
 </li>
 <li>
 A mission-driven culture rooted in Dignity in Life
 </li>
 <li>
 Collaboration, respect, and trust across teams
 </li>
 <li>
 The opportunity to make a system-wide impact
 </li>
 <li>
 A supportive environment that values expertise, learning, and continuous improvement
 
 
 </li>
 </ul>
 If you?re an RN who values accuracy, education, and building strong relationships ? and you want your work to truly make a difference ? we?d love to talk with you.
 
 
 
 Apply On Our Websit
 
 
 
 https://myjobs.adp.com/vhshomeoffice/cx/job-details?reqId=5001189371006
</div>

ICD 10 Nurse Specialist (RN)

SearchPlus HR

<div>SearchPlus HR is seeking a highly skilled Senior Specialist in Emergency Medicine to join a leading health care facility. This role is suited for an experienced emergency medicine physician who excels in providing superior patient care in critical and fast-paced environments. The successful candidate will play a pivotal role in delivering comprehensive emergency services and leading clinical teams to ensure excellence in patient outcomes.
As a Senior Specialist in Emergency Medicine, you will be responsible for diagnosing and treating a wide spectrum of emergency conditions, coordinating with multidisciplinary teams, and driving quality improvement initiatives. You will also mentor junior medical staff and contribute to the advancement of emergency care protocols within the facility.
Key Responsibilities:<ul>
<li>Provide expert clinical care to patients presenting with urgent and emergent conditions</li>
<li>Lead and supervise the emergency department staff to maintain high standards of care</li>
<li>Collaborate with other specialties to ensure coordinated and effective patient management</li>
<li>Participate in the development and implementation of clinical guidelines and protocols</li>
<li>Engage in continuous professional development and promote training within the department</li>
<li>Ensure compliance with regulatory standards and hospital policies</li>
<li>Contribute to research and quality improvement projects in emergency medicine</li>
<li>Maintain accurate and detailed patient records and documentation</li> 
</ul> 
 
Requirements 
<ul>
<li>Medical degree (MD or equivalent) with specialization in Emergency Medicine</li>
<li>Board certification or equivalent credentials in Emergency Medicine</li>
<li>Minimum of 5 years experience in emergency medicine, preferably in a leading healthcare institution</li>
<li>Proven leadership and team management skills within a clinical setting</li>
<li>Strong clinical decision-making and problem-solving abilities in high-pressure situations</li>
<li>Excellent communication and interpersonal skills</li>
<li>Familiarity with healthcare regulations and standards</li>
<li>Current certifications in Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS)</li>
<li>Commitment to patient-centered care and continuous learning</li> 
</ul> 
 
Benefits 
Benefits are a Good Monthly Salary + Incentives + Standard family benefits like accommodation, Air ticket, Medical insurance, and Education allowance.</div>

Senior Specialist Emergency Medicine - Leading Health Care Facility

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