Job Closed

This listing is no longer active.

Memorial Hermann Health System logo
Memorial Hermann Health System

More than a century of patient-centered care. At Memorial Hermann, we are all about advancing health.

Clinical Documentation Specialist

Medical writerMedical writerFull TimeRemoteSeniorTeam 10,001+H1B SponsorCompany SiteLinkedIn

Location

Texas

Posted

81 days ago

Salary

0

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

Clinical Documentation Specialist

Memorial Hermann Health System

• Responsible for concurrent review of inpatient medical records to identify opportunities for improving quality of physician documentation • Facilitates modifications to clinical documentation through concurrent interaction with physicians and other members of the health care team • Achieves a complete medical record to support complete, accurate and timely coding • Communicates with physicians, case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation • Utilizes the hospital’s designated clinical documentation system to identify opportunities for physician and hospital outcomes • Provides or coordinates education to internal customers related to compliance, coding, and clinical documentation issues • Responsible for the evaluation of documentation by the medical staff • Gathers and analyzes documentation findings and outcomes • Contributes to a positive working environment and performs other duties as assigned or directed

Job Requirements

  • Prefer an RN candidate with Clinical Documentation experience
  • Must be an RN with a BSN or MSN
  • Must have at least 5yrs of recent RN bedside experience in an acute hospital setting
  • Prefer critical care, ICU nursing experience
  • Requires excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication
  • Proficiency in organization and planning
  • Proficiency in computer usage including database and spreadsheet analysis, presentation programs, word processing and Internet searching
  • Knowledge of federal, state and private payer regulations preferred
  • Demonstrates adaptability, flexibility, and self-motivation, and an ability to work independently

Benefits

  • Clinical Documentation education programs
  • Professional growth and development opportunities
  • Direct patient care experiences

Related Categories

Related Job Pages

More Medical writer Jobs

Guidehouse logo

Clinical Documentation Integrity Specialist

Guidehouse

Solving big problems, building trust in society, and empowering our clients to shape the future.

Medical writer81 days ago
Full TimeRemoteTeam 10,001+Since 2018H1B Sponsor

• The CDI Specialist is responsible for comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification. • Collaborates closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department and Providers to assure documentation is clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective of current CMS or other regulatory standards. • Conducts daily, concurrent review of inpatient records on assigned unit(s) to ensure complete and accurate physician and or clinician documentation is present at the time of discharge for accurate, timely, and compliant coding. • Reviews daily admissions to assigned unit, perform initial code assignment for a working DRG and complete CDI software data entry for initial and follows up case reviews (or worksheet to include code and DRG assignment) and submit to Program Assistant. • Updates “working DRG” as documentation supports, or physician query answer supports a change in the DRG assignment. • Communicates to the CDI Coordinator when volume of daily review assignments is too high or low so that CDI Coordinator can assist in adjusting review assignments amongst the team. • Initiates compliant physician queries when documentation is confusing, ambiguous, or missing and follows up with MD to seek immediate response to query.

United States
$61K - $101K / year
Job Closed
Greenpark logo

Medical Writer

Greenpark

Global, award-winning digital content agency | We create amazing content that people and algorithms love 💚

Medical writer82 days ago
Full TimeRemoteTeam 201-500H1B Sponsor

• Develop high-quality medical and scientific content • Collaborate with internal stakeholders and external experts • Ensure content compliance with regulatory standards • Maintain up-to-date knowledge of therapeutic areas

Thailand
Job Closed
Greenpark logo

Medical Writer

Greenpark

Global, award-winning digital content agency | We create amazing content that people and algorithms love 💚

Medical writer82 days ago
Full TimeRemoteTeam 201-500H1B Sponsor

• Develop high-quality medical and scientific content • Write clinical summaries and scientific manuscripts • Collaborate with medical affairs and regulatory teams • Ensure compliance with regulatory and ethical standards

Indonesia
Job Closed
Greenpark logo

Medical Copywriter

Greenpark

Global, award-winning digital content agency | We create amazing content that people and algorithms love 💚

Medical writer82 days ago
Full TimeRemoteTeam 201-500H1B Sponsor

• Develop scientifically accurate, compliant, and engaging content for pharmaceutical marketing initiatives. • Bridge scientific knowledge and commercial objectives to create impactful content for healthcare professionals (HCPs). • Develop, repurpose, and update content for a wide range of commercial and promotional assets. • Ensure all developed content complies with applicable local regulations, industry standards, client requirements, and internal compliance policies, supported by accurate and up-to-date scientific references. • Manage content through the medical, legal, and regulatory (MLR) review and approval process, including addressing reviewer feedback and implementing required revisions. • Collaborate with cross-functional internal teams involved in end-to-end asset development, including creative, editorial, and digital production teams. • Coordinate with external stakeholders such as program managers, delivery managers, agency partners, and brand teams as needed. • Demonstrate openness and adaptability in using AI-enabled tools and digital platforms that support content development and operational efficiency. • Maintain compliance with quality standards, timelines, confidentiality requirements, data security protocols, training requirements, and established operational processes and policies.

Philippines