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Adventist HealthCare, founded in 1907, is a faith-based, not-for-profit health system committed to delivering high-quality care through its extensive network of
Clinical Documentation Integrity Quality Reviewer (Remote), Day Shift, Clinical Documentation
Location
United States
Posted
65 days ago
Salary
$83.1K - $124K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Clinical Documentation Integrity Quality Reviewer (Remote), Day Shift, Clinical Documentation
Adventist HealthCare
Remote If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks to hire an experienced Clinical Documentation Integrity Quality Reviewer for our Medical Coding Department who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. As a Clinical Documentation Integrity Quality Reviewer, you will: •Conducts retrospective and concurrent audits of clinical documentation reviews performed by CDI specialists to ensure compliance with organizational standards, coding guidelines, and regulatory requirements. Prepare audit reports, track key quality metrics, and present findings to CDI leadership and related stakeholders. •Work closely with HIM, Coding, Compliance, Physician Advisory teams to resolve discrepancies related to MAHCs, PPCs, PSI, SOI/ROM and Mortality, and ensure cohesive clinical documentation practices. •Develop and deliver targeted training sessions based on audit findings to address knowledge gaps and support CDI team competency. Provides ongoing education to CDI staff and physicians, and clinical teams to enhance knowledge of documentation standards and practices. •Oversee the accuracy, specificity, and completeness of clinical documentation to support compliance, quality care, and proper reimbursement. •Collaborates with CDI leadership to recommend quality improvement initiatives, update audit tools, refine CDI workflows, and ensure all documentation aligns with regulatory requirements, such as CMS guidelines, HIPAA, and organizational policies. •Analyze findings, identify trends in documentation and coding practices, and provide detailed feedback to CDI team members to support professional development. Qualifications include: •Doctor of Medicine (MD), Doctor of Osteopathy (DO), Foreign Medical Graduate (FMG), or Registered Nurse (RN) •RHIA, RHIT, or related clinical/allied health degree •Minimum of 5 years inpatient clinical experience •2+ years of clinical documentation, coding, case management, utilization review, or acute-care clinical experience •Experience interpreting physician documentation, lab results, imaging, and clinical indicators. •Experience with ICD-10-CM/PCS, DRGs, SOI/ROM or HCC is a plus •Lean Six Sigma Green belt preferred •Solventum360 preferred •CCDS (Certified Clinical Documentation Specialist), CDIP (Clinical Documentation Improvement Practitioner) or equivalent required •Certified Documentation Expert Inpatient (CDEI) preferred •Certified Coding Specialist (CCS) preferred Work Schedule: - Employment Type: Full-time - Hours per Week: 40 hours - Typical Daily Schedule: Monday through Friday - Shift Type: Day Shift - Weekend Requirements: No Weekends - Competitive Performance Incentive: Eligible Pay Range: $83,112.12 - $124,675.20If the salary range is listed as $0 or if the position is Per Diem (with a fixed rate), salary discussions will take place during the screening process. Under the Fair Labor Standards Act (FLSA), this position is classified as: United States of America (Exempt) At Adventist HealthCare our job is to care for you. We do this by offering: - Work life balance through nonrotating shifts - Recognition and rewards for professional expertise - Free Employee parking - Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire - Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available) - Paid Time Off - Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period - Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance - Subsidized childcare at participating childcare centers - Tuition Reimbursement - Employee Assistance Program (EAP) support As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County. If you want to make a difference in someone’s life every day, consider a position with a team of professionals who are doing just that, making a difference. Join the Adventist HealthCare team today, apply now to be considered! COVID-19 Vaccination Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination. Tobacco and Drug Statement Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use. While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result. Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.). Equal Employment Opportunity Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law. Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants’ religious beliefs. Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.
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Kite PharmaKite is a biopharmaceutical company engaged in the development of innovative cancer immunotherapies with a goal of providing rapid, long-term durable response and eliminating the burden of chronic care. The company is focused on chimeric antigen receptor (CAR) and T cell receptor (TCR) engineered cell therapies designed to empower the immune system's ability to recognize and kill tumors. Kite is based in Santa Monica, CA.
We’re here for one reason and one reason only – to cure cancer. Every moment is dedicated to developing treatments and every action moves us one step closer to our goal. We’ve made incredible scientific breakthroughs and our pioneering personalized CAR T-cell therapies have changed the paradigm. But we're not finished yet. Join Kite, as we make even bigger advances in cancer therapies, and help shape where our business and medical science goes next. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Join Kite and help create more tomorrows. Job Description This position will report into the ED, Head of Clinical Operations Compliance. 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Key Responsibilities: - Drive the development, optimization, alignment and implementation of clinical trial processes across Kite Clinical Development - Partner with equivalent Gilead functions for development, optimization and alignment of shared clinical trial processes - Identify and Lead Process Improvement opportunities at Kite - Establish and maintain the training curricula for Clinical Operations (inclusive of Clinical Operations, Data Management and Clinical Logistics) and support other Clinical Development functions, as needed - Develop Onboarding plans for Clinical Operations - Support transition planning within Clinical Operations as needed - Proactively monitor compliance with Clinical Operations procedural documents and training requirements - Develop and report process and training compliance metrics - Support and participate in internal audits and regulatory authority inspections as needed - Support audit/inspection response development and CAPA implementation - Maintain awareness of changes within the industry and regulatory environment (i.e. ICH E6 (R3)) to ensure Clinical Development processes are updated as necessary - Lead and support efforts to increase compliance awareness and a culture of compliance Basic Qualifications: - BS or BA in a relevant scientific discipline and 8+ years of experience OR RN (2 or 3 year certificate) and 8+ years of experience. - Must be able to resolve problems using national and international regulations, guidelines, and investigator interaction. - Thorough knowledge and understanding of FDA and/or EMEA Regulations, ICH Guidelines, and GCPs governing the conduct of clinical trials is required. - Functional expertise to initiate, author, or contribute to SOP development, implementation, and training. - Demonstrated understanding of end-to-end clinical trial processes. 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For Current Kite Pharma Employees and Contractors: Please apply via the Internal Career Opportunities portal in Workday.


