documentation consultant

Trinity Health

<b>Employment Type:</b><br>
Full time
<br><br>
<b>Shift:</b><br>
<b>Description:</b><br>
Utilizes clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator and consultant. Facilitates the overall quality, completeness and accuracy of medical record documentation through extensive record review.
<br><br>
Our Commitment
<br><br>
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.

Clinical Documentation Specialist Remote

Forvis Mazars

<div><div><div><div><b>Requisition Number</b><b>2236175</b></div></div></div><div><div><div><div><b>
Description &amp; Requirements</b>
<br>
<br>
The Performance Improvement Healthcare Consulting team helps healthcare organizations achieve sustainable results by addressing margin erosion through targeted improvement strategies. By aligning strategic, operational, and financial initiatives, they identify opportunities and support leadership in implementing impactful changes. With a focus on strengthening margins, the team empowers providers to fulfill their mission and thrive in today's evolving healthcare environment.
<br>
<br>
The Lead Consultant will oversee and manage Clinical Documentation Integrity (CDI) consulting engagements across hospitals, health systems, and clinics. This role is responsible for performing CDI program assessments, reviewing clinical documentation, analyzing DRG and risk adjustment impacts, delivering education sessions, and guiding the implementation of best-practice documentation workflows.
<br>
<br>
<b>What You Will Do:<br>
</b><br>
<br>
<ul><li>Conduct CDI program assessments and evaluate workflows to identify improvement opportunities.</li>
<li>Identify documentation gaps impacting CC/MCC, SOI/ROM, HCCs, and DRG assignment.</li>
<li>Recommend and implement strategies to improve documentation quality, compliance, and coding accuracy.</li>
<li>Develop and maintain CDI policies, procedures, and best practices.</li>
<li>Review clinical documentation and diagnostic data to identify missed severity and risk adjustment opportunities.</li>
<li>Collaborate with coding teams to ensure accurate code assignment and analyze audit trends to support mitigation strategies.</li>
<li>Deliver education for clinicians and CDI specialists on documentation standards, query compliance, DRG impacts, and record review best practices.</li>
<li>Create tailored educational resources, including tools, job aids, and reference materials.</li>
<li>Analyze CDI performance metrics such as CMI, DRG shifts, query response rates, and reconciliation accuracy.</li>
<li>Develop dashboards and reports to present actionable insights to executives and clinical leaders.</li>
<li>Manage client workstreams, updates, and deliverables, ensuring timely, high-quality outcomes.</li>
<li>Prepare proposals, executive summaries, and project documentation.</li>
</ul>
<br>
<b>Minimum Qualifications:</b><br>
<br>
<br>
<ul><li>Bachelor's degree in a healthcare-related field</li>
<li>5+ years of related healthcare experience, including 2+ years in Clinical Documentation Improvement</li>
<li>Hands-on experience with CDI or Electronic Health Record (EHR) documentation platforms</li>
<li>Strong knowledge of DRG methodology, CC/MCC structure, and Hierarchical Condition Categories (HCCs)</li>
<li>Proficiency in Microsoft Excel and ability to interpret clinical data</li>
<li>Willingness to travel up to 60%, based on client needs</li>
</ul>
<br>
<b>Preferred Qualifications:<br>
</b><br>
<br>
<ul><li>Master's Degree</li>
<li>Registered Nurse</li>
<li>Prior Consulting experience</li>
<li>Experience leading CDI program redesign or expansion</li>
<li>Familiarity with quality reporting and risk adjustment metrics</li>
<li>CCDS, CDIP, or equivalent certification</li>
</ul>
<br>
#LI-ATL, #LI-OAK, #LI-IND, #LI-STL, #LI-SGF, #LI-CLTSP, #LI-CIN, #LI-NASH
<br>
<br>
#LI-BM</div></div></div></div><div><div><div><div><p>
With a legacy spanning more than 100 years, Forvis Mazars is committed to providing a different perspective and an unmatched client experience that feels right, personal and natural. We respect and reflect the range of perspectives, knowledge and local understanding of our people and clients. We take the time to listen to deliver consistent audit and assurance, tax, advisory and consulting services worldwide.</p>
<p>We nurture a deep understanding of our clients&rsquo; industries, delivering greater insight, deeper specialization and tailored solutions through people who listen to understand, are responsive and consult with purpose to deliver value.</p>
<p><i>About Forvis Mazars, LLP</i></p>
<p><i>Forvis Mazars, LLP is an independent member of Forvis Mazars Global, a leading global professional services network. Ranked among the largest public accounting firms in the United States, the firm&rsquo;s 7,000 dedicated team members provide an Unmatched Client Experience&reg; through the delivery of assurance, tax, and consulting services for clients in all 50 states and internationally through the global network. Visit forvismazars.us to learn more.</i></p>
<p><i>Forvis Mazars, LLP is an equal opportunity/affirmative action employer. Employment selection and related decisions are made without regard to age, race, color, sex, sexual orientation, national origin, religion, genetic information, disability, protected veteran status, gender identity, or other protected classifications.</i><br>
<i>It is Forvis Mazars, LLP standard policy not to accept unsolicited referrals or resumes from any source other than directly from candidates.</i></p>
<p><i>Forvis Mazars, LLP expressly reserves the right not to consider unsolicited referrals and/or resumes from vendors including and without limitation, search firms, staffing agencies, fee-based referral services, and recruiting agencies.</i><br>
<i>Forvis Mazars, LLP further reserves the right not to pay a fee to a recruiter or agency unless such recruiter or agency has a signed vendor agreement with Forvis Mazars, LLP.Any resume or CV submitted to any employee of Forvis Mazars, LLP without having a Forvis Mazars, LLP vendor agreement in place will be considered the property of Forvis Mazars, LLP.</i></p></div></div></div></div></div><p></p>

Lead Consultant, Healthcare Performance Improvement - Clinical Documentation Integrity

United Business Bank

<div><div><div>Join a winning team at United Business Bank and enjoy a friendly and collaborative work environment where opportunities for advancement are encouraged and supported. We pride ourselves on the team that we have in place, and we proudly state that our success is due largely to our team and their commitment to our client base. Thank you for considering United Business Bank as your next step in your career path, we look forward to hearing from you.</div></div><div><div><b>
About United Business Bank</b></div></div><div><div>
We are a publicly traded Regional Bank with over $2.5B in assets and 34 offices in 5 states. We have an entrepreneurial spirit and focus on the community by specializing in small to medium sized business clients. Our single point of contact model delivers outstanding customer service. United Business Bank's comprehensive benefit package includes medical, dental, vision, 401K, long and short term disability insurance, flexible spending account, a generous vacation and sick policy.</div></div><div><div><b>
About the Position...</b></div></div><div><div><b>
The Documentation Officer (DO) is an onsite position and does not have remote opportunities.</b></div></div><div><div>
The Documentation Officer (DO) is responsible for compliant, effective and accurate preparation of loan documentation for various new, renewed and modified loans of varying complexity. The Documentation Officer will coordinate efforts with account officers, title companies, and other departments to obtain all required supporting documentation in accordance with the banks loan file compliance functions. They will ensure that clients are served promptly, courteously, efficiently and professionally. The Documentation Officer will assist the Documentation Manager in reviewing documents for accuracy and compliance with applicable regulations and bank policy and is also responsible for assisting in training new loan personnel, monthly tracking and reporting functions. They will make process improvement recommendation to the Documentation Manager will perform all duties accurately, timely and efficiently, and according to Bank policies, procedures and regulatory guidelines. They will also assist the Documentation Manager with projects and other duties as assigned.</div></div><p><b>
About You...</b><br>
You are a self-starter with an entrepreneurial spirit who thrives in a team environment. You also have the following:</p><p><b>
Education/Certification:</b> High school graduate or equivalent required. College Degree preferred.</p><p><b>
Required Knowledge:</b> Knowledge of Loan Documentation, and Note Department policies and procedures. Thorough understanding of banking regulations and standard banking practices. Thorough knowledge of LaserPro.</p><p><b>
Experience Required:</b> Previous documentation experience and a minimum of 3 years+ bank experience in a Loan Department.</p><p><b>
Skills/Abilities:</b></p><ul><li>
Good communication skills.</li><li>
Professional appearance, dress and attitude.</li><li>
Good math skills.</li><li>
Ability to use Microsoft Office software package.</li></ul><p><b>
Location: Onsite, no remote</b></p><p>
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, or veteran status.</p></div>

Documentation Officer

Flomic Global Logistics Ltd

<p>Job Description:</p><p>1. Min 1 year of relevant experience in Import CHA and FFW documentation role.</p><p>2. Good knowledge in preparation of checklist, bill of entry filing.</p><p>3. Coordination with customers regarding documentation.</p><p>4. Coordination with shipping line regarding shipments.</p><p>Requirement :</p><p>1. Good knowledge &amp; working experience of all documentation &amp; procedure for Custom Clearance of Sea &amp; Air Imports.</p><p>2. Good email drafting skills.</p><p>Job Types: Full-time, Permanent</p><p>Pay: ₹25,000.00 - ₹35,000.00 per month</p><p>Benefits:</p><ul><li>Flexible schedule</li><li>Leave encashment</li><li>Provident Fund</li></ul><p>Work Location: In person</p>

Import Documentation

Midstar

<div>
 <p>
  <strong>
   We thank all applicants for their interest, however only shortlisted candidates will be contacted.
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Position Purpose:
  </strong>
 </p>
 <p>
  The Documentation &amp; Data Entry Officer is responsible for preparing and managing all shipping documentation related to bulk agricultural commodities (such as wheat, rice, barley, corn, soybeans, and others). The role ensures accurate preparation of export and imports documents, coordination with shipping lines, surveyors, and port agents, and precise updating of shipment data to support smooth logistics and operational workflows
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Key Responsibilities
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   1. Shipping Documentation Preparation
  </strong>
 </p>
 <ul>
  <li>
   Prepare and review export and import documentation including:
  </li>
  <li>
   Verify compliance with customs, port authority, and agricultural regulatory documentation.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   2. Coordination &amp; Operational Follow-Up
  </strong>
 </p>
 <ul>
  <li>
   Follow vessel operational documents.
  </li>
  <li>
   Monitor vessel schedules, loading/discharging timelines, and shipment progress.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   3. Data Entry &amp; System Updates
  </strong>
 </p>
 <ul>
  <li>
   Record and update accurate shipment data including commodity type, quantities (MT), vessel name/voyage, POL/POD.
  </li>
  <li>
   Track and document vessel movement stages (arrival, departure, loading start/finish, daily progress).
  </li>
  <li>
   Maintain organized digital and physical archives of all shipping documents.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   4. Reporting &amp; Record Keeping
  </strong>
 </p>
 <ul>
  <li>
   Prepare daily and weekly shipment status reports.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   5. Compliance &amp; Standards
  </strong>
 </p>
 <ul>
  <li>
   Ensure documentation and data accuracy in accordance with internal standards.
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Educational Background:
  </strong>
 </p>
 <p>
  Bachelor&rsquo;s degree in Logistics, Business Administration, International Trade, Maritime Transport, or a related field.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Skills &amp; Knowledge Requirements:
  </strong>
 </p>
 <ul>
  <li>
   Strong knowledge of export/import documentation.
  </li>
  <li>
   Basic understanding of bulk cargo handling and shipping operations.
  </li>
  <li>
   Familiarity with Incoterms (FOB, CFR, CIF).
  </li>
  <li>
   Strong communication skills (English proficiency required).
  </li>
  <li>
   High accuracy in data entry and documentation handling.
  </li>
  <li>
   Dealing with Nafeza platform and cargoX platform
  </li>
 </ul>
 <p>
  <br/>
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Department:
  </strong>
 </p>
 <p>
  Logistics / Execution
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Years of Experience:
  </strong>
 </p>
 <p>
  1&ndash;3 years of experience in documentation, freight forwarding, or shipping (preferred).
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Technical Skills:
  </strong>
 </p>
 <ul>
  <li>
   Excellent document handling and organization.
  </li>
  <li>
   Strong understanding of shipment documentation workflows.
  </li>
  <li>
   Ability to prepare structured reports (written &amp; Excel-based).
  </li>
  <li>
   Attention to detail and accuracy in data handling.
  </li>
  <li>
   Knowledge of agricultural commodities shipping is a plus.
  </li>
 </ul>
 <p>
 </p>
</div>


Methodist Hospitals

<div>Overview:
<div>
Facilitates and obtains appropriate and complete medical record documentation to reflect patient acuity level and care provided. Ensures that clinical documentation is accurately and compliantly captured at the point of service.</div>
Responsibilities:
<div><b>
PRINCIPAL DUTIES AND RESPONSIBILITIES(*Essential Functions)</b></div><ul><li>
Responsible for facilitating concurrent documentation of the medical record to achieve accurate inpatient coding and legitimate DRG assignment for billing integrity. Reviews all provider documentation as necessary to ensure complete and accurate documentation. Collaborates with HIM Coders to ensure that the clinical information used in measuring and reporting outcomes is complete and accurate and reimbursement is received fro the level of services rendered to patients with DRG-based payers.</li><li>
Participates in education of members of the patient care team on documentation guidelines as guided by department leadership.</li><li>
Collect and analyze data to provide reports and make recommendations.</li><li>
Completes admission reviews of patient records within 24-48 hours of admission for specified patient population to evaluate documentation and generate the working DRG.</li><li>
Conducts concurrent follow-up reviews of records as necessary, not to exceed 4 days from prior review. Update notes and revise working DRG based on new documentation.</li><li>
Electronically query physicians/other providers regarding missing, unclear, or conflicting medical record documentation and obtains additional documentation within the medical record when needed.</li><li>
Document all reviews in the CDI application to facilitate tracking, data collection, and communication with coders and department leaders.</li><li>
Take all necessary action to resolve physician queries prior to patient discharge.</li><li>
Contribute to and participate in physician, nursing, and other ancillary staff education documentation requirements.</li><li>
Utilize EHR Clinical Documentation Improvement process flow tools to collect data to support reporting of required indicators - Number of reviews per day/patient - Query generation - Query completion to include outcome - Current and expected DRG with weight change - APR-DRG SOI score improvement.</li><li>
Make recommendations for change processes required to capture needed documentation, such as note template and query content redesign.</li></ul>
Qualifications:
<div><b>
JOB SPECIFICATIONS(Minimum Requirements)</b><br>
<br>
<b>KNOWLEDGE, SKILLS, AND ABILITIES</b></div><ul><li>
Registered Health Information Technologist/Registered Health Information Administrator</li><li>
Excellent communication skills</li><li>
Ability to work independently and in a team environment.</li><li>
Self-starter, professional courtesy, positive attitude.</li><li>
Demonstrates knowledge of procedures for protecting and maintaining security, confidentiality, and integrity of employee, patient and family, organizational, or other medical information. Understands and supports the commitment of Methodist Hospitals in adhering to federal, state, and local laws, rules, and regulations governing ethical business practices for healthcare providers.</li></ul><div><b><br>
EDUCATION</b></div><ul><li>
Requirements for this position are: a. An Associate's Degree from a recognized college or university in Nursing and a current Registered Nurse licensure in the State of Indiana, OR b. A Bachelor's Degree from a recognized college or university in health records management or a closely related field and RHIA.</li><li>
Associates Nursing Required</li><li>
Bachelors Health Information Required</li><li>
Minimum 2 years inpatient hospital coding experience</li><li>
2 years Healthcare/Medical - Health Information Systems/Technology/MIS Required</li><li>
Minimum 3 years' experience in Clinical documentation Improvement (Preferred), hospital inpatient quality chart review or Case Management</li><li>
RHIA - Registered Health Info Administrator</li><li>
RHIT - Registered Health Info Technician</li><li>
Licensed Registered Nurse</li></ul><div><b><br>
STANDARDS OF BEHAVIOR</b><br>
Meets the Standards of Behavior as outlined in Personnel Policy and Procedure #1, Employee Relations Code.<br>
<br>
<b>CONFIDENTIALITY/HIPAA/CORPORATE COMPLIANCE</b><br>
Demonstrates knowledge of procedures for protecting and maintaining security, confidentiality and integrity of employee, patient, family, organizational and other medical information. Understands and supports the commitment of Methodist Hospitals in adhering to federal, state and local laws, rules and regulations governing ethical business practices for healthcare providers.<br>
<br>
<b>DISCLAIMER</b> - The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. The statements are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required.</div></div>

CLINICAL DOCUMENT SPECIALIST

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