Clinical Documentation Specialist at OhioHealth reviewing inpatient medical records for severity of illness and risk of mortality. Collaborating with providers to enhance clinical documentation accuracy in a supportive environment.
Responsibilities
Reviews inpatient medical records and identifies potential opportunities in provider documentation to accurately reflect severity of illness (SOI) and risk of mortality (ROM)
Communicates with provider or designee to request clarification or additional documentation
Exhibits expert knowledge of clinical documentation requirements, coding guidelines, DRG assignment, and clinical conditions
Collaborates with the Health Information Management Department coding staff regarding clinical documentation
Assists with implementing plans for both formal and informal education of providers and other departments
Requirements
Bachelor's Degree (Required)
RN - Registered Nurse - Ohio Board of Nursing
Minimum 5 years Experience in adult inpatient medical/surgical or critical care setting
Certification in health-related field or Clinical Documentation Improvement
Senior Medical Writer at Avalere Health producing editorial content to support healthcare communication goals. Collaborating with teams to deliver quality projects on time and within budget.
Clinical Writer preparing regulatory and clinical documentation for innovative medical devices at Withings. Collaborating with technical teams and ensuring compliance with medical regulations.
Medical Writer at Kintiga preparing AMNOG and JCA dossiers, supporting strategic planning and G - BA consultations. Focused on quality deliverables using expertise in the healthcare and life sciences sector.
Medical Writer preparing clinical regulatory documents in collaboration with client teams. Contributing to the production of high - quality regulatory documentation for the international pharmaceutical industry.
Senior Medical Writer leading complex writing projects and managing writing activities at Syneos Health. Collaborating with medical teams while adhering to regulatory standards.
CDI Specialist reviewing medical records and facilitating documentation improvement at Ensemble Health Partners. Requires acute care nursing experience with a focus on Pediatric/NICU.
Manager overseeing Clinical Documentation Improvement (CDI) program and staff at multiple Illinois locations. Ensuring accurate documentation and coding practices while collaborating with healthcare professionals.
Medical Writer II providing strategic writing expertise for Clinical Evaluation Reporting documents at Abbott. Collaborating on clinical evaluation projects for medical devices across multiple sites.
Principal Medical Writer managing major client accounts at Madano, delivering strategic, scientifically rigorous content and overseeing a scientific services team.
Senior Medical Writer creating scientifically robust communications for healthcare. Collaborating with cross - functional teams to drive impactful content delivery.