651 Api Documentation jobs in the United States
Documentation Specialist
33747 St. Petersburg, Florida
Catalent Pharma Solutions
Posted 5 days ago
Job Viewed
Job Description
**Documentation Specialist**
**Position Summary**
Catalent, Inc. is a leading global contract development and manufacturing organization (CDMO) whose mission is to develop, manufacture, and supply products that help people live better and healthier lives. Catalent is dedicated to delivering unparalleled service to pharma, biotech, and consumer health customers, supporting product development, launch, and full life-cycle supply. With time-tested experience in development sciences, delivery technologies, and multi-modality manufacturing, Catalent supports the acceleration of development programs and the launch of more than a hundred new products every year. Powered by thousands of scientists and technicians and the latest technology platforms at more than 40 global sites, Catalent supplies billions of doses of life-enhancing and life-saving treatments for patients annually.
St. Petersburg is our primary softgel development and manufacturing facility in North America with a capacity of 18 billion capsules per year. The featured RP Scherer softgel technology is a proven oral drug delivery solution to enhance bioavailability of poorly soluble Rx and OTC drug candidates. Non-gelatin based OptiShell® and Vegicaps® capsules expand the range of molecules into softgel, ideal for challenging fill formulation. Within the Catalent network, we offer a broad range of integrated formulation.
The **Documentation Specialist** is responsible for reviewing, writing, implementing and maintaining documentation such as batch records, protocols, IPC recipes, technical assessments and electronic weigh and dispense system per applicable SOPs. To accomplish these responsibilities the **Documentation Specialist** will be experienced and have an understanding of document change control procedures, computer systems, and manufacturing process knowledge within a cGMP environment.
Your talents, ideas, and passion are essential to our mission: to help people live better, healthier lives.
The position is 100% on-site at our St. Petersburg, FL location.
**The Role**
+ Review, write, or revise master batch records to support new products via technical transfers and initiateimprovements/updates for existing commercial products.
+ Review, write or revise Technical Services protocols to support technical transfers, qualification of alternatesuppliers, manufacturing gap assessments or other protocol-driven tasks for the Technical Servicesdepartment.
+ Review, write or revise IPC recipes for new products or existing commercial products. Review, write or revise electronic weigh and dispense system recipes (POMS).
+ Review, write, or revise technical assessments with input from department SMEs. Review, write, or revise SOPs with input from the change initiators.
+ Review, write, or revise Change Control in accordance with Catalent's SOPs.
+ Addend master batch records prior to execution in support of Technical Services protocols and otherassociated functions.
+ Maintain all Technical Services documents, electronically or physically, for immediate, rapid retrieval. Electronically scan completed Technical Services documentation, as needed.
+ Perform training on documents with cross-functional teams, as needed.
+ Other duties as assigned.
**The Candidate**
+ Bachelor's degree is required. In a relevant business discipline or equivalent experience, or applicable combination. A technical background and/or degree in a science (including computer science) is preferred.
+ 3+ years' experience with documentation systems is preferred (authoring documents in the systems and maintaining the systems) required 1+ years in the pharmaceutical industry is preferred.
+ 1+ years' experience authoring electronic batch record recipes is preferred.
+ 1+ years of experience authoring written and electronic batch record recipes is preferred.
+ Individual may be required to sit for long periods of time, while reading or preparing documents. The individual may also be required to stand or walk. Ability to work effectively under pressure with constantly changing priorities and deadlines.
+ Individual may be required to sit, stand, walk regularly and occasionally lift 0-15 pounds. Ability to access and move throughout laboratory, production area(s) and office area(s) and use the proper safety precautions as required. Ability to use required office equipment. Specific vision requirements include reading of written documents and use of computer monitor screen frequently.
**Why you should join Catalent:**
+ Tuition Reimbursement - Let us help you finish your degree or earn a new one!
+ WellHub program to promote overall physical wellness.
+ 152 hours of PTO + 8 paid holidays.
+ Medical, dental and vision benefits effective day one of employment.
+ Defined career path and annual performance review and feedback process.
+ Diverse, inclusive culture. Several Employee Resource Groups focusing on D&I. Community engagement and green initiatives.
+ Dynamic, fast-paced work environment.
+ Positive working environment focusing on continually improving processes to remain innovative.
+ Potential for career growth on an expanding team within an organization dedicated to preserving and bettering lives.
+ Perkspot - offers exclusive or private discounts from approximately 900+ merchants in a wide array of categories.
**Catalent offers rewarding opportunities to further your career!** Join the global drug development and delivery leader and help us bring over 7,000 life-saving and life-enhancing products to patients around the world. Catalent is an exciting and growing international company where employees work directly with pharma, biopharma and consumer health companies of all sizes to advance new medicines from early development to clinical trials and to the market. Catalent produces more than 70 billion doses per year, and each one will be used by someone who is counting on us. Join us in making a difference.
personal initiative. dynamic pace. meaningful work.
Visit Catalent Careers ( to explore career opportunities.
Catalent is an Equal Opportunity Employer, including disability and veterans.
If you require reasonable accommodation for any part of the application or hiring process due to a disability, you may submit your request by sending an email, and confirming your request for an accommodation and include the job number, title and location to . This option is reserved for individuals who require accommodation due to a disability. Information received will be processed by a U.S. Catalent employee and then routed to a local recruiter who will provide assistance to ensure appropriate consideration in the application or hiring process.
Notice to Agency and Search Firm Representatives: Catalent Pharma Solutions (Catalent) is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Catalent employee by a third party agency and/or search firm without a valid written & signed search agreement, will become the sole property of Catalent. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you.
Important Security Notice to U.S. Job Seekers:
Catalent NEVER asks candidates to provide any type of payment, bank details, photocopies of identification, social security number or other highly sensitive personal information during the offer process, and we NEVER do so via email or social media. If you receive any such request, DO NOT respond- it is a fraudulent request. Please forward such requests to for us to investigate with local authorities.
California Job Seekers can find our California Job Applicant Notice HERE ( .
**Position Summary**
Catalent, Inc. is a leading global contract development and manufacturing organization (CDMO) whose mission is to develop, manufacture, and supply products that help people live better and healthier lives. Catalent is dedicated to delivering unparalleled service to pharma, biotech, and consumer health customers, supporting product development, launch, and full life-cycle supply. With time-tested experience in development sciences, delivery technologies, and multi-modality manufacturing, Catalent supports the acceleration of development programs and the launch of more than a hundred new products every year. Powered by thousands of scientists and technicians and the latest technology platforms at more than 40 global sites, Catalent supplies billions of doses of life-enhancing and life-saving treatments for patients annually.
St. Petersburg is our primary softgel development and manufacturing facility in North America with a capacity of 18 billion capsules per year. The featured RP Scherer softgel technology is a proven oral drug delivery solution to enhance bioavailability of poorly soluble Rx and OTC drug candidates. Non-gelatin based OptiShell® and Vegicaps® capsules expand the range of molecules into softgel, ideal for challenging fill formulation. Within the Catalent network, we offer a broad range of integrated formulation.
The **Documentation Specialist** is responsible for reviewing, writing, implementing and maintaining documentation such as batch records, protocols, IPC recipes, technical assessments and electronic weigh and dispense system per applicable SOPs. To accomplish these responsibilities the **Documentation Specialist** will be experienced and have an understanding of document change control procedures, computer systems, and manufacturing process knowledge within a cGMP environment.
Your talents, ideas, and passion are essential to our mission: to help people live better, healthier lives.
The position is 100% on-site at our St. Petersburg, FL location.
**The Role**
+ Review, write, or revise master batch records to support new products via technical transfers and initiateimprovements/updates for existing commercial products.
+ Review, write or revise Technical Services protocols to support technical transfers, qualification of alternatesuppliers, manufacturing gap assessments or other protocol-driven tasks for the Technical Servicesdepartment.
+ Review, write or revise IPC recipes for new products or existing commercial products. Review, write or revise electronic weigh and dispense system recipes (POMS).
+ Review, write, or revise technical assessments with input from department SMEs. Review, write, or revise SOPs with input from the change initiators.
+ Review, write, or revise Change Control in accordance with Catalent's SOPs.
+ Addend master batch records prior to execution in support of Technical Services protocols and otherassociated functions.
+ Maintain all Technical Services documents, electronically or physically, for immediate, rapid retrieval. Electronically scan completed Technical Services documentation, as needed.
+ Perform training on documents with cross-functional teams, as needed.
+ Other duties as assigned.
**The Candidate**
+ Bachelor's degree is required. In a relevant business discipline or equivalent experience, or applicable combination. A technical background and/or degree in a science (including computer science) is preferred.
+ 3+ years' experience with documentation systems is preferred (authoring documents in the systems and maintaining the systems) required 1+ years in the pharmaceutical industry is preferred.
+ 1+ years' experience authoring electronic batch record recipes is preferred.
+ 1+ years of experience authoring written and electronic batch record recipes is preferred.
+ Individual may be required to sit for long periods of time, while reading or preparing documents. The individual may also be required to stand or walk. Ability to work effectively under pressure with constantly changing priorities and deadlines.
+ Individual may be required to sit, stand, walk regularly and occasionally lift 0-15 pounds. Ability to access and move throughout laboratory, production area(s) and office area(s) and use the proper safety precautions as required. Ability to use required office equipment. Specific vision requirements include reading of written documents and use of computer monitor screen frequently.
**Why you should join Catalent:**
+ Tuition Reimbursement - Let us help you finish your degree or earn a new one!
+ WellHub program to promote overall physical wellness.
+ 152 hours of PTO + 8 paid holidays.
+ Medical, dental and vision benefits effective day one of employment.
+ Defined career path and annual performance review and feedback process.
+ Diverse, inclusive culture. Several Employee Resource Groups focusing on D&I. Community engagement and green initiatives.
+ Dynamic, fast-paced work environment.
+ Positive working environment focusing on continually improving processes to remain innovative.
+ Potential for career growth on an expanding team within an organization dedicated to preserving and bettering lives.
+ Perkspot - offers exclusive or private discounts from approximately 900+ merchants in a wide array of categories.
**Catalent offers rewarding opportunities to further your career!** Join the global drug development and delivery leader and help us bring over 7,000 life-saving and life-enhancing products to patients around the world. Catalent is an exciting and growing international company where employees work directly with pharma, biopharma and consumer health companies of all sizes to advance new medicines from early development to clinical trials and to the market. Catalent produces more than 70 billion doses per year, and each one will be used by someone who is counting on us. Join us in making a difference.
personal initiative. dynamic pace. meaningful work.
Visit Catalent Careers ( to explore career opportunities.
Catalent is an Equal Opportunity Employer, including disability and veterans.
If you require reasonable accommodation for any part of the application or hiring process due to a disability, you may submit your request by sending an email, and confirming your request for an accommodation and include the job number, title and location to . This option is reserved for individuals who require accommodation due to a disability. Information received will be processed by a U.S. Catalent employee and then routed to a local recruiter who will provide assistance to ensure appropriate consideration in the application or hiring process.
Notice to Agency and Search Firm Representatives: Catalent Pharma Solutions (Catalent) is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Catalent employee by a third party agency and/or search firm without a valid written & signed search agreement, will become the sole property of Catalent. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you.
Important Security Notice to U.S. Job Seekers:
Catalent NEVER asks candidates to provide any type of payment, bank details, photocopies of identification, social security number or other highly sensitive personal information during the offer process, and we NEVER do so via email or social media. If you receive any such request, DO NOT respond- it is a fraudulent request. Please forward such requests to for us to investigate with local authorities.
California Job Seekers can find our California Job Applicant Notice HERE ( .
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0
Documentation Specialist
20147 Ashburn, Virginia
System One
Posted 4 days ago
Job Viewed
Job Description
Job Title: Documentation Specialist
Location: Hybrid Work Model Reporting to Vienna, VA
Pay Rate: Open to Both C2C and W2 options
Position Type: Multiyear Contract
Description
+ Compile, research, analyze and document data.
+ Create sop manuals, requirements, workflow/ processes, functionality and or controls for respective ISD group.
+ Develop and evaluate information, and prepare recommendations based on analysis for use in decision making.
+ Apply extensive and diversified knowledge of principles and practices in broad areas of assignments and relates fields.
+ Work on the most complex, high impact projects.
+ Serve as technical specialist or advisor to the respective group.
System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
#M-
#LI-
#DI-
Ref: #850-Rockville (ALTA IT)
System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, TPGS, and MOUNTAIN, LTD., are leaders in delivering workforce solutions and integrated services across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
Location: Hybrid Work Model Reporting to Vienna, VA
Pay Rate: Open to Both C2C and W2 options
Position Type: Multiyear Contract
Description
+ Compile, research, analyze and document data.
+ Create sop manuals, requirements, workflow/ processes, functionality and or controls for respective ISD group.
+ Develop and evaluate information, and prepare recommendations based on analysis for use in decision making.
+ Apply extensive and diversified knowledge of principles and practices in broad areas of assignments and relates fields.
+ Work on the most complex, high impact projects.
+ Serve as technical specialist or advisor to the respective group.
System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
#M-
#LI-
#DI-
Ref: #850-Rockville (ALTA IT)
System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, TPGS, and MOUNTAIN, LTD., are leaders in delivering workforce solutions and integrated services across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
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1
Documentation Specialist
08876 Somerville, New Jersey
AbbVie
Posted 4 days ago
Job Viewed
Job Description
Company Description
AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at Follow @abbvie on X, Facebook, Instagram, YouTube, LinkedIn and Tik Tok ( .
Job Description
Processes controlled documentation in the EDMS (Electronic Documentation Management System) in accordance with policies and procedures. Reviews and evaluates changes requests of varying complexity with minimal supervision. Evaluates objective data and implementation plans associated with various change requests and follows up on activities required for closure. Serves as a primary contact for change initiators and provides guidance on the process as required. Evaluates and resolves quality issues with minimal supervision. Serves as a representative for Quality Documentation and Change Control during regulatory audits. Fulfill the responsibilities and tasks of the Change Control Manager in their absence as well as be a team lead and provide guidance and direction to other team members.
-Review, evaluate, and process change requests including:
+ Objective data and implementation plans
+ Provide guidance to change initiators as required
+ Evaluate and resolve quality issues related to change control as required
-Complete processing of change request and associated documentation
-Identify potential process deficiencies and develop solutions for improvement
-Represent Documentation and Change Control during regulatory audits
-Assist Change Control Manager with special assignments/projects including:
+ Participating in cross functional teams for site projects
+ Representing Documentation and Change Control on global initiatives
-Other duties as assigned by Change Control Manager
Qualifications
+ Bachelor's degree required in Life Sciences, Engineering, or similar discipline
+ Minimum of 5 years of experience within a documentation services group and/or Quality function utilizing a validated documentation management system and change management system (preferably TrackWise).
+ Minimum of 5 years of Quality or change control experience with an understanding of medical device documentation including, but not limited to, policies, procedures, work instructions, specifications, etc.
+ Minimum of 5 years' experience with supporting internal and external audits.
+ Previous experience providing training to multiple departments as the SME.
Additional Information
Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law:
+ The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future.
+ We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees.
+ This job is eligible to participate in our short-term incentive programs.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law.
AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled.
US & Puerto Rico only - to learn more, visit & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:
$73,000 - $138,500
AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at Follow @abbvie on X, Facebook, Instagram, YouTube, LinkedIn and Tik Tok ( .
Job Description
Processes controlled documentation in the EDMS (Electronic Documentation Management System) in accordance with policies and procedures. Reviews and evaluates changes requests of varying complexity with minimal supervision. Evaluates objective data and implementation plans associated with various change requests and follows up on activities required for closure. Serves as a primary contact for change initiators and provides guidance on the process as required. Evaluates and resolves quality issues with minimal supervision. Serves as a representative for Quality Documentation and Change Control during regulatory audits. Fulfill the responsibilities and tasks of the Change Control Manager in their absence as well as be a team lead and provide guidance and direction to other team members.
-Review, evaluate, and process change requests including:
+ Objective data and implementation plans
+ Provide guidance to change initiators as required
+ Evaluate and resolve quality issues related to change control as required
-Complete processing of change request and associated documentation
-Identify potential process deficiencies and develop solutions for improvement
-Represent Documentation and Change Control during regulatory audits
-Assist Change Control Manager with special assignments/projects including:
+ Participating in cross functional teams for site projects
+ Representing Documentation and Change Control on global initiatives
-Other duties as assigned by Change Control Manager
Qualifications
+ Bachelor's degree required in Life Sciences, Engineering, or similar discipline
+ Minimum of 5 years of experience within a documentation services group and/or Quality function utilizing a validated documentation management system and change management system (preferably TrackWise).
+ Minimum of 5 years of Quality or change control experience with an understanding of medical device documentation including, but not limited to, policies, procedures, work instructions, specifications, etc.
+ Minimum of 5 years' experience with supporting internal and external audits.
+ Previous experience providing training to multiple departments as the SME.
Additional Information
Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law:
+ The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future.
+ We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees.
+ This job is eligible to participate in our short-term incentive programs.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law.
AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled.
US & Puerto Rico only - to learn more, visit & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:
$73,000 - $138,500
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2
Documentation Specialist
AbbVie
Posted today
Job Viewed
Job Description
Job Description
Additional Information
Job Description
Company Description
AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas – immunology, oncology, neuroscience, and eye care – and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at Follow @abbvie on X, Facebook, Instagram, YouTube, LinkedIn and Tik Tok.
Job DescriptionProcesses controlled documentation in the EDMS (Electronic Documentation Management System) in accordance with policies and procedures. Reviews and evaluates changes requests of varying complexity with minimal supervision. Evaluates objective data and implementation plans associated with various change requests and follows up on activities required for closure. Serves as a primary contact for change initiators and provides guidance on the process as required. Evaluates and resolves quality issues with minimal supervision. Serves as a representative for Quality Documentation and Change Control during regulatory audits. Fulfill the responsibilities and tasks of the Change Control Manager in their absence as well as be a team lead and provide guidance and direction to other team members.
-Review, evaluate, and process change requests including:
- Objective data and implementation plans
- Provide guidance to change initiators as required
- Evaluate and resolve quality issues related to change control as required
-Complete processing of change request and associated documentation
-Identify potential process deficiencies and develop solutions for improvement
-Represent Documentation and Change Control during regulatory audits
-Assist Change Control Manager with special assignments/projects including:
- Participating in cross functional teams for site projects
- Representing Documentation and Change Control on global initiatives
-Other duties as assigned by Change Control Manager
Qualifications- Bachelor’s degree required in Life Sciences, Engineering, or similar discipline
- Minimum of 5 years of experience within a documentation services group and/or Quality function utilizing a validated documentation management system and change management system (preferably TrackWise).
- Minimum of 5 years of Quality or change control experience with an understanding of medical device documentation including, but not limited to, policies, procedures, work instructions, specifications, etc.
- Minimum of 5 years’ experience with supporting internal and external audits.
- Previous experience providing training to multiple departments as the SME.
Additional Information
Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law:
The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future.
We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees.
This job is eligible to participate in our short-term incentive programs.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company’s sole and absolute discretion, consistent with applicable law.
AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled.
US & Puerto Rico only - to learn more, visit -us/equal-employment-opportunity-employer.html
US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:
-us/reasonable-accommodations.html
View Now
3
Clinical Documentation Specialist
35808 Redstone Arsenal, Alabama
Community Health Systems
Posted 3 days ago
Job Viewed
Job Description
**Join the team at Crestwood Medical Center!**
Our benefits include:
+ Medical, dental, and vision coverage
+ 401(k) with employer match
+ Paid time off and holidays
+ Tuition assistance and reimbursement for approved programs
.and so much more to support your health, family, and future.
If you're ready to grow your career while making a difference, apply today to learn more!
**Job Summary**
The Clinical Documentation Specialist (CDS) performs clinical documentation improvement (CDI) activities to support the accuracy, quality, and completeness of patient records at facilities. This role ensures that coded diagnoses and procedures reflect the patient's clinical status and care provided. The CDS collaborates with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support continuity of care, appropriate quality metrics, and regulatory compliance.
**Essential Functions**
+ Analyzes inpatient clinical records to identify opportunities for improving documentation accuracy, ensuring assigned codes reflect patient severity and acuity.
+ Adheres to corporate recommended CDI workflows and uses CDI and medical records software, such as 3M 360 Encompass and Iodine Interact, to support documentation practices.
+ Utilizes approved physician query processes to clarify documentation, ensuring queries are compliant, necessary, and non-leading, and follows up daily on unanswered queries.
+ Conducts follow-up reviews of patient records to identify new documentation opportunities and ensures accuracy through continuous review.
+ Tracks CDI activities within CDI software, accurately reporting impact metrics and maintaining clear records of all interactions and documentation efforts.
+ Provides education and training to providers, explaining recommendations for documentation improvement and offering insights through individual or group sessions.
+ Collaborates closely with coding professionals to ensure accurate diagnostic and procedural data through complete and compliant documentation.
+ Leads physician education initiatives, developing strategies to improve documentation practices at the facility level and conducting formal training sessions.
+ Monitors regulatory changes in coding, documentation, and quality metrics, ensuring compliance with updated standards and sharing information with staff as needed.
+ Creates and submits accurate reports in a timely manner, maintaining up-to-date knowledge of best practices and industry standards to support CDI goals.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Qualifications**
+ Associate Degree in Nursing, Health Information Management, or a related field required
+ Bachelor's Degree in Nursing, Health Information Management, or a related field preferred
+ 4-6 years of acute care hospital nursing experience (e.g. medical/surgical unit, intensive care) required
+ 3-5 years of experience in clinical documentation improvement, health information management, or inpatient coding preferred
+ Experience in physician education or query processes preferred
+ Familiarity with regulatory standards and quality metrics related to clinical documentation preferred
**Knowledge, Skills and Abilities**
+ Strong knowledge of clinical documentation improvement principles, inpatient coding guidelines, and quality metrics.
+ Excellent analytical and problem-solving skills to identify opportunities for documentation improvement.
+ Proficiency in CDI and medical record software systems (e.g., 3M 360 Encompass, Iodine Interact).
+ Effective communication and interpersonal skills to collaborate with physicians and interdisciplinary teams.
+ Ability to develop and deliver educational programs tailored to clinical and administrative audiences.
+ Strong organizational skills and attention to detail to manage multiple priorities and deadlines.
+ Commitment to maintaining compliance with regulatory standards and corporate policies.
**Licenses and Certifications**
+ RN - Registered Nurse - State Licensure and/or Compact State Licensure or comparable clinical license (e.g., International MD) required
+ CCS-Certified Coding Specialist or ICD-10 certification or trainer designation preferred or
+ Certified Clinical Documentation Specialist (CCDS) preferred
+ RHIT - Registered Health Information Technician preferred or
+ RHIA - Registered Health Information Administrator preferred
+ CDIP - Clinical Documentation Improvement Professional preferred or
+ Certified Coder-AHIMA or AAPC preferred
INDNC
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.
Our benefits include:
+ Medical, dental, and vision coverage
+ 401(k) with employer match
+ Paid time off and holidays
+ Tuition assistance and reimbursement for approved programs
.and so much more to support your health, family, and future.
If you're ready to grow your career while making a difference, apply today to learn more!
**Job Summary**
The Clinical Documentation Specialist (CDS) performs clinical documentation improvement (CDI) activities to support the accuracy, quality, and completeness of patient records at facilities. This role ensures that coded diagnoses and procedures reflect the patient's clinical status and care provided. The CDS collaborates with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support continuity of care, appropriate quality metrics, and regulatory compliance.
**Essential Functions**
+ Analyzes inpatient clinical records to identify opportunities for improving documentation accuracy, ensuring assigned codes reflect patient severity and acuity.
+ Adheres to corporate recommended CDI workflows and uses CDI and medical records software, such as 3M 360 Encompass and Iodine Interact, to support documentation practices.
+ Utilizes approved physician query processes to clarify documentation, ensuring queries are compliant, necessary, and non-leading, and follows up daily on unanswered queries.
+ Conducts follow-up reviews of patient records to identify new documentation opportunities and ensures accuracy through continuous review.
+ Tracks CDI activities within CDI software, accurately reporting impact metrics and maintaining clear records of all interactions and documentation efforts.
+ Provides education and training to providers, explaining recommendations for documentation improvement and offering insights through individual or group sessions.
+ Collaborates closely with coding professionals to ensure accurate diagnostic and procedural data through complete and compliant documentation.
+ Leads physician education initiatives, developing strategies to improve documentation practices at the facility level and conducting formal training sessions.
+ Monitors regulatory changes in coding, documentation, and quality metrics, ensuring compliance with updated standards and sharing information with staff as needed.
+ Creates and submits accurate reports in a timely manner, maintaining up-to-date knowledge of best practices and industry standards to support CDI goals.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Qualifications**
+ Associate Degree in Nursing, Health Information Management, or a related field required
+ Bachelor's Degree in Nursing, Health Information Management, or a related field preferred
+ 4-6 years of acute care hospital nursing experience (e.g. medical/surgical unit, intensive care) required
+ 3-5 years of experience in clinical documentation improvement, health information management, or inpatient coding preferred
+ Experience in physician education or query processes preferred
+ Familiarity with regulatory standards and quality metrics related to clinical documentation preferred
**Knowledge, Skills and Abilities**
+ Strong knowledge of clinical documentation improvement principles, inpatient coding guidelines, and quality metrics.
+ Excellent analytical and problem-solving skills to identify opportunities for documentation improvement.
+ Proficiency in CDI and medical record software systems (e.g., 3M 360 Encompass, Iodine Interact).
+ Effective communication and interpersonal skills to collaborate with physicians and interdisciplinary teams.
+ Ability to develop and deliver educational programs tailored to clinical and administrative audiences.
+ Strong organizational skills and attention to detail to manage multiple priorities and deadlines.
+ Commitment to maintaining compliance with regulatory standards and corporate policies.
**Licenses and Certifications**
+ RN - Registered Nurse - State Licensure and/or Compact State Licensure or comparable clinical license (e.g., International MD) required
+ CCS-Certified Coding Specialist or ICD-10 certification or trainer designation preferred or
+ Certified Clinical Documentation Specialist (CCDS) preferred
+ RHIT - Registered Health Information Technician preferred or
+ RHIA - Registered Health Information Administrator preferred
+ CDIP - Clinical Documentation Improvement Professional preferred or
+ Certified Coder-AHIMA or AAPC preferred
INDNC
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.
View Now
4
Clinical Documentation Specialist
35902 Gadsden, Alabama
Community Health Systems
Posted 3 days ago
Job Viewed
Job Description
**Job Summary**
The Clinical Documentation Specialist (CDS) performs clinical documentation improvement (CDI) activities to support the accuracy, quality, and completeness of patient records at facilities. This role ensures that coded diagnoses and procedures reflect the patient's clinical status and care provided. The CDS collaborates with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support continuity of care, appropriate quality metrics, and regulatory compliance.
**Essential Functions**
+ Analyzes inpatient clinical records to identify opportunities for improving documentation accuracy, ensuring assigned codes reflect patient severity and acuity.
+ Adheres to corporate recommended CDI workflows and uses CDI and medical records software, such as 3M 360 Encompass and Iodine Interact, to support documentation practices.
+ Utilizes approved physician query processes to clarify documentation, ensuring queries are compliant, necessary, and non-leading, and follows up daily on unanswered queries.
+ Conducts follow-up reviews of patient records to identify new documentation opportunities and ensures accuracy through continuous review.
+ Tracks CDI activities within CDI software, accurately reporting impact metrics and maintaining clear records of all interactions and documentation efforts.
+ Provides education and training to providers, explaining recommendations for documentation improvement and offering insights through individual or group sessions.
+ Collaborates closely with coding professionals to ensure accurate diagnostic and procedural data through complete and compliant documentation.
+ Leads physician education initiatives, developing strategies to improve documentation practices at the facility level and conducting formal training sessions.
+ Monitors regulatory changes in coding, documentation, and quality metrics, ensuring compliance with updated standards and sharing information with staff as needed.
+ Creates and submits accurate reports in a timely manner, maintaining up-to-date knowledge of best practices and industry standards to support CDI goals.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Qualifications**
+ Associate Degree in Nursing, Health Information Management, or a related field required
+ Bachelor's Degree in Nursing, Health Information Management, or a related field preferred
+ 4-6 years of acute care hospital nursing experience (e.g. medical/surgical unit, intensive care) required
+ 3-5 years of experience in clinical documentation improvement, health information management, or inpatient coding preferred
+ Experience in physician education or query processes preferred
+ Familiarity with regulatory standards and quality metrics related to clinical documentation preferred
**Knowledge, Skills and Abilities**
+ Strong knowledge of clinical documentation improvement principles, inpatient coding guidelines, and quality metrics.
+ Excellent analytical and problem-solving skills to identify opportunities for documentation improvement.
+ Proficiency in CDI and medical record software systems (e.g., 3M 360 Encompass, Iodine Interact).
+ Effective communication and interpersonal skills to collaborate with physicians and interdisciplinary teams.
+ Ability to develop and deliver educational programs tailored to clinical and administrative audiences.
+ Strong organizational skills and attention to detail to manage multiple priorities and deadlines.
+ Commitment to maintaining compliance with regulatory standards and corporate policies.
**Licenses and Certifications**
+ RN - Registered Nurse - State Licensure and/or Compact State Licensure required or
+ CCS-Certified Coding Specialist or ICD-10 certification or trainer designation required or
+ Certified Clinical Documentation Specialist (CCDS) required
+ RHIT - Registered Health Information Technician preferred or
+ RHIA - Registered Health Information Administrator preferred
+ CDIP - Clinical Documentation Improvement Professional preferred or
+ Certified Coder-AHIMA or AAPC preferred
INDNC
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.
The Clinical Documentation Specialist (CDS) performs clinical documentation improvement (CDI) activities to support the accuracy, quality, and completeness of patient records at facilities. This role ensures that coded diagnoses and procedures reflect the patient's clinical status and care provided. The CDS collaborates with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support continuity of care, appropriate quality metrics, and regulatory compliance.
**Essential Functions**
+ Analyzes inpatient clinical records to identify opportunities for improving documentation accuracy, ensuring assigned codes reflect patient severity and acuity.
+ Adheres to corporate recommended CDI workflows and uses CDI and medical records software, such as 3M 360 Encompass and Iodine Interact, to support documentation practices.
+ Utilizes approved physician query processes to clarify documentation, ensuring queries are compliant, necessary, and non-leading, and follows up daily on unanswered queries.
+ Conducts follow-up reviews of patient records to identify new documentation opportunities and ensures accuracy through continuous review.
+ Tracks CDI activities within CDI software, accurately reporting impact metrics and maintaining clear records of all interactions and documentation efforts.
+ Provides education and training to providers, explaining recommendations for documentation improvement and offering insights through individual or group sessions.
+ Collaborates closely with coding professionals to ensure accurate diagnostic and procedural data through complete and compliant documentation.
+ Leads physician education initiatives, developing strategies to improve documentation practices at the facility level and conducting formal training sessions.
+ Monitors regulatory changes in coding, documentation, and quality metrics, ensuring compliance with updated standards and sharing information with staff as needed.
+ Creates and submits accurate reports in a timely manner, maintaining up-to-date knowledge of best practices and industry standards to support CDI goals.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Qualifications**
+ Associate Degree in Nursing, Health Information Management, or a related field required
+ Bachelor's Degree in Nursing, Health Information Management, or a related field preferred
+ 4-6 years of acute care hospital nursing experience (e.g. medical/surgical unit, intensive care) required
+ 3-5 years of experience in clinical documentation improvement, health information management, or inpatient coding preferred
+ Experience in physician education or query processes preferred
+ Familiarity with regulatory standards and quality metrics related to clinical documentation preferred
**Knowledge, Skills and Abilities**
+ Strong knowledge of clinical documentation improvement principles, inpatient coding guidelines, and quality metrics.
+ Excellent analytical and problem-solving skills to identify opportunities for documentation improvement.
+ Proficiency in CDI and medical record software systems (e.g., 3M 360 Encompass, Iodine Interact).
+ Effective communication and interpersonal skills to collaborate with physicians and interdisciplinary teams.
+ Ability to develop and deliver educational programs tailored to clinical and administrative audiences.
+ Strong organizational skills and attention to detail to manage multiple priorities and deadlines.
+ Commitment to maintaining compliance with regulatory standards and corporate policies.
**Licenses and Certifications**
+ RN - Registered Nurse - State Licensure and/or Compact State Licensure required or
+ CCS-Certified Coding Specialist or ICD-10 certification or trainer designation required or
+ Certified Clinical Documentation Specialist (CCDS) required
+ RHIT - Registered Health Information Technician preferred or
+ RHIA - Registered Health Information Administrator preferred
+ CDIP - Clinical Documentation Improvement Professional preferred or
+ Certified Coder-AHIMA or AAPC preferred
INDNC
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.
View Now
5
Clinical Documentation Specialist
85213 Mesa, Arizona
Ascension Health
Posted 5 days ago
Job Viewed
Job Description
**Details**
+ **Department:** Case Management
+ **Schedule:** Full-time, 1.0 Salaried
+ **Hospital:** Ascension Columbia St. Mary's Milwaukee, WI
+ **Location:** Remote
+ **Salary:** $75, ,759.00 per year
**Benefits**
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
_Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer._
**Responsibilities**
Facilitate improvement in overall quality, completeness and accuracy of medical record documentation.
+ Complete admission reviews and assigns a working Diagnosis Related Group. Ensures the working DRG and other information are entered in the Clinical Documentation Improvement database.
+ Initiate and maintain extensive interactions with physicians and mid-level providers to address the need for more detailed information in the medical record.
+ Collaborate with healthcare professionals to ensure the severity of illness and level of services provided are accurately reflected in the medical record and to resolve physician queries and documentation issues prior to patient's discharge.
+ Maintain accurate records of review activities, ensuring reports and outcomes of CDI efforts are valid.
**Requirements**
Licensure / Certification / Registration:
+ One or more of the following required:
+ Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
+ Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
+ Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
+ Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.
+ Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.
+ Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or job transfer date. Licensure from the Wisconsin Board of Nursing OR current home state license if considered multi-state/Compact State.
Education:
+ High School diploma equivalency with 2 years of cumulative experience OR Associate'sdegree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.
**Additional Preferences**
No additional preferences.
**Why Join Our Team**
Ascension Wisconsin has been providing rewarding careers to healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will find opportunities that allow you to create a career path you love, all while delivering compassionate, personalized care to the communities we serve.
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
**Equal Employment Opportunity Employer**
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.
For further information, view the EEO Know Your Rights (English) ( poster or EEO Know Your Rights (Spanish) ( poster.
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
Pay Non-Discrimination Notice ( note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
**This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.**
+ **Department:** Case Management
+ **Schedule:** Full-time, 1.0 Salaried
+ **Hospital:** Ascension Columbia St. Mary's Milwaukee, WI
+ **Location:** Remote
+ **Salary:** $75, ,759.00 per year
**Benefits**
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
_Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer._
**Responsibilities**
Facilitate improvement in overall quality, completeness and accuracy of medical record documentation.
+ Complete admission reviews and assigns a working Diagnosis Related Group. Ensures the working DRG and other information are entered in the Clinical Documentation Improvement database.
+ Initiate and maintain extensive interactions with physicians and mid-level providers to address the need for more detailed information in the medical record.
+ Collaborate with healthcare professionals to ensure the severity of illness and level of services provided are accurately reflected in the medical record and to resolve physician queries and documentation issues prior to patient's discharge.
+ Maintain accurate records of review activities, ensuring reports and outcomes of CDI efforts are valid.
**Requirements**
Licensure / Certification / Registration:
+ One or more of the following required:
+ Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
+ Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
+ Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
+ Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.
+ Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.
+ Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or job transfer date. Licensure from the Wisconsin Board of Nursing OR current home state license if considered multi-state/Compact State.
Education:
+ High School diploma equivalency with 2 years of cumulative experience OR Associate'sdegree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.
**Additional Preferences**
No additional preferences.
**Why Join Our Team**
Ascension Wisconsin has been providing rewarding careers to healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will find opportunities that allow you to create a career path you love, all while delivering compassionate, personalized care to the communities we serve.
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
**Equal Employment Opportunity Employer**
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.
For further information, view the EEO Know Your Rights (English) ( poster or EEO Know Your Rights (Spanish) ( poster.
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
Pay Non-Discrimination Notice ( note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
**This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.**
View Now
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6
Senior Documentation Specialist
20768 Greenbelt, Maryland
ASRC Federal Holding Company
Posted 5 days ago
Job Viewed
Job Description
ASRC Federal is a leading government contractor furthering missions in space, public health and defense. As an Alaska Native owned corporation, our work helps secure an enduring future for our shareholders. Join our team and discover why we are a top veteran employer and Certified Great Place to Work
ASRC Federal AFSS is a premier provider of systems engineering, software engineering, system integration and project management services for real-time, mission-critical defense systems. We are seeking a **Senior Documentation Specialist** to support a NASA contract in **Greenbelt, MD.**
Full-time senior-level Document Management support in the areas of records management, document management for GeoXO Program, and managing contract deliverables for the GeoXO Flight Project.
**Responsibilities:**
+ Maintain detailed knowledge of required compliance documentation including Goddard Procedural Requirements (GPR 1440.8) Records Management, (400-PG-1440.7.2) Retention of Project Technical Records by the Code 400 Directorate Library (NPR 1441.1) NASA Records Management Program Requirements and the (NRRS 1441.1) NASA Records Retention Schedules.
+ Manage contractual data requirement deliverables by managing the receipt, meta-data entry, review notification, comment tracking and delivery, maintenance and reporting.
+ Interface with Project contracting officers to coordinate contractual delivery approvals/disapprovals and closures.
+ Perform annual vendor contract deliverable audits.
+ Provide frequent detailed, summary and status reports.
+ Work closely with the GeoXO Flight personnel to develop, manage and maintain an organized RMS (Records Management System).
+ Point of contact (POC) between the GeoXO Flight Project and GeoXO IT for the records management within the RMS. Coordinate with IT staff on GeoXO RMS tasks.
+ Interface with the Flight Project data management team members to coordinate common RMS events.
+ Provide RMS instructions which will include training groups and individuals; both civil servants and contractors.
+ Interface with the RMS coordinator with maintaining user access.
+ Serve as Flight's backup approver for GeoXO SharePoint access and authorization. When applicable, identify and confer with the approvers before granting access to restricted SharePoint locations.
+ Manage the RMS folder structure for the Project.
+ Create and manage reports and procedures to maximize the effectiveness of the Flight RMS.
+ Monitor daily RMS reports to ensure folder structures are followed.
+ May lead other personnel in complex assignments dealing with the RMS.
+ Reports any significant changes that may have occurred in the RMS to the customers as needed.
+ Provide recommendations and develop new streamlined processes in response to changing or growing needs in the RMS.
+ Prepare presentation charts and reports pertaining to the RMS.
+ Provide records management support to complete the yearly Program Organizational File Plan following the NASA Records Retention Schedule NRRS 1441.1.
+ Ensure all business needs and legal, regulatory and system requirements related to records management are met. Manages the records and information management program to ensure compliance.
+ Provide coordination and support in implementing Electronic Records Management policies, processes and procedures across the Project.
+ Supports the development and implementation of an Enterprise Records Management Taxonomy and Classification Schema.
+ Use Business Processes Analysis to support Metadata Profile Development and define a new Metadata Schema, specific to the organization in accordance to known Metadata Standards for transfer and ingestion of records into the RMS.
+ Define process of information architecture for configuring records management within the RMS to managing content lifecycle.
+ Provide business analyst skills for Records and Content Management related projects within the RMS environment.
+ Provide support in records management program activities such electronic record dispositioning including inventory, appraisal, and disposition.
+ Partners with IT on functional and technical assessments as related to records and information management, and evaluates proposed technology solutions to determine feasibility and compliance with industry and organization standards.
+ Provides subject matter expertise as a liaison between IT, the user community or external service providers to identify requirements for document/records management systems and assures all agreements and commitments are met.
+ May serve as lead resource for dealing with highly complex retention issues and confers with superiors on unusual records retention or compliance matters.
+ Responsible for communicating project status and issues to customers and leadership as they arise. May be responsible for taking direction from leadership and distributing information to team members, stakeholders, and leadership quickly and efficiently.
+ Provide back-up support to the GeoXO Flight data management team; Configuration Managers, Requirements Managers, RMS Administrators
**Requirements:**
+ Understanding of the principles, concepts, and techniques in the field of managing Federal records and enterprise content management systems (ECM), through all phases of the paper and electronic records life cycle including creation, collection, maintenance, use, and disposition.
+ Outstanding proactive customer service with strong problem-solving skills and the ability to anticipate customer needs by recognizing areas of opportunity and quickly providing solutions.
+ Must have excellent oral, written, and interpersonal communication skills with the ability and confidence to work with executive level customers and leadership.
+ Data management experience in a technical / engineering environment required.
+ Experience with flight projects and procedures is preferred.
+ Working knowledge of SharePoint document and data management highly preferred.
+ Experience with RMS and data migration efforts is strongly desired.
+ High-level proficiency in the Microsoft Office Suite.
+ Ability to work independently and collaborate successfully with a project team including project management and technical leads.
+ Ability to take direction from leadership, distribute functions across a cross-functional team, and keep track of structuring various tasks, employees, and policies.
+ Ability to work on site during normal business hours.
+ Strong organizational skills, attention to detail, and demonstrated analytical skills.
+ Individual must meet government NAC and citizenship/permanent residency requirements for access to NASA GSFC.
+ Some travel may be required.
**Education and Experience:**
+ Requires a Bachelor's degree and a minimum of 5-7 years of experience.
We invest in the lives of our employees, both in and out of the workplace, by providing competitive pay and benefits packages. Benefits offered may include health care, dental, vision, life insurance; 401(k); education assistance; paid time off including PTO, holidays, and any other paid leave required by law.
**_EEO Statement_**
_ASRC Federal and its Subsidiaries are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, gender, color, age, sexual orientation, gender identification, national origin, religion, marital status, ancestry, citizenship, disability, protected veteran status, or any other factor prohibited by applicable law._
**Job Details**
**Job Family** **Administration**
**Job Function** **Records Management**
**Pay Type** **Salary**
**Hiring Min Rate** **84,464 USD**
**Hiring Max Rate** **126,696 USD**
ASRC Federal AFSS is a premier provider of systems engineering, software engineering, system integration and project management services for real-time, mission-critical defense systems. We are seeking a **Senior Documentation Specialist** to support a NASA contract in **Greenbelt, MD.**
Full-time senior-level Document Management support in the areas of records management, document management for GeoXO Program, and managing contract deliverables for the GeoXO Flight Project.
**Responsibilities:**
+ Maintain detailed knowledge of required compliance documentation including Goddard Procedural Requirements (GPR 1440.8) Records Management, (400-PG-1440.7.2) Retention of Project Technical Records by the Code 400 Directorate Library (NPR 1441.1) NASA Records Management Program Requirements and the (NRRS 1441.1) NASA Records Retention Schedules.
+ Manage contractual data requirement deliverables by managing the receipt, meta-data entry, review notification, comment tracking and delivery, maintenance and reporting.
+ Interface with Project contracting officers to coordinate contractual delivery approvals/disapprovals and closures.
+ Perform annual vendor contract deliverable audits.
+ Provide frequent detailed, summary and status reports.
+ Work closely with the GeoXO Flight personnel to develop, manage and maintain an organized RMS (Records Management System).
+ Point of contact (POC) between the GeoXO Flight Project and GeoXO IT for the records management within the RMS. Coordinate with IT staff on GeoXO RMS tasks.
+ Interface with the Flight Project data management team members to coordinate common RMS events.
+ Provide RMS instructions which will include training groups and individuals; both civil servants and contractors.
+ Interface with the RMS coordinator with maintaining user access.
+ Serve as Flight's backup approver for GeoXO SharePoint access and authorization. When applicable, identify and confer with the approvers before granting access to restricted SharePoint locations.
+ Manage the RMS folder structure for the Project.
+ Create and manage reports and procedures to maximize the effectiveness of the Flight RMS.
+ Monitor daily RMS reports to ensure folder structures are followed.
+ May lead other personnel in complex assignments dealing with the RMS.
+ Reports any significant changes that may have occurred in the RMS to the customers as needed.
+ Provide recommendations and develop new streamlined processes in response to changing or growing needs in the RMS.
+ Prepare presentation charts and reports pertaining to the RMS.
+ Provide records management support to complete the yearly Program Organizational File Plan following the NASA Records Retention Schedule NRRS 1441.1.
+ Ensure all business needs and legal, regulatory and system requirements related to records management are met. Manages the records and information management program to ensure compliance.
+ Provide coordination and support in implementing Electronic Records Management policies, processes and procedures across the Project.
+ Supports the development and implementation of an Enterprise Records Management Taxonomy and Classification Schema.
+ Use Business Processes Analysis to support Metadata Profile Development and define a new Metadata Schema, specific to the organization in accordance to known Metadata Standards for transfer and ingestion of records into the RMS.
+ Define process of information architecture for configuring records management within the RMS to managing content lifecycle.
+ Provide business analyst skills for Records and Content Management related projects within the RMS environment.
+ Provide support in records management program activities such electronic record dispositioning including inventory, appraisal, and disposition.
+ Partners with IT on functional and technical assessments as related to records and information management, and evaluates proposed technology solutions to determine feasibility and compliance with industry and organization standards.
+ Provides subject matter expertise as a liaison between IT, the user community or external service providers to identify requirements for document/records management systems and assures all agreements and commitments are met.
+ May serve as lead resource for dealing with highly complex retention issues and confers with superiors on unusual records retention or compliance matters.
+ Responsible for communicating project status and issues to customers and leadership as they arise. May be responsible for taking direction from leadership and distributing information to team members, stakeholders, and leadership quickly and efficiently.
+ Provide back-up support to the GeoXO Flight data management team; Configuration Managers, Requirements Managers, RMS Administrators
**Requirements:**
+ Understanding of the principles, concepts, and techniques in the field of managing Federal records and enterprise content management systems (ECM), through all phases of the paper and electronic records life cycle including creation, collection, maintenance, use, and disposition.
+ Outstanding proactive customer service with strong problem-solving skills and the ability to anticipate customer needs by recognizing areas of opportunity and quickly providing solutions.
+ Must have excellent oral, written, and interpersonal communication skills with the ability and confidence to work with executive level customers and leadership.
+ Data management experience in a technical / engineering environment required.
+ Experience with flight projects and procedures is preferred.
+ Working knowledge of SharePoint document and data management highly preferred.
+ Experience with RMS and data migration efforts is strongly desired.
+ High-level proficiency in the Microsoft Office Suite.
+ Ability to work independently and collaborate successfully with a project team including project management and technical leads.
+ Ability to take direction from leadership, distribute functions across a cross-functional team, and keep track of structuring various tasks, employees, and policies.
+ Ability to work on site during normal business hours.
+ Strong organizational skills, attention to detail, and demonstrated analytical skills.
+ Individual must meet government NAC and citizenship/permanent residency requirements for access to NASA GSFC.
+ Some travel may be required.
**Education and Experience:**
+ Requires a Bachelor's degree and a minimum of 5-7 years of experience.
We invest in the lives of our employees, both in and out of the workplace, by providing competitive pay and benefits packages. Benefits offered may include health care, dental, vision, life insurance; 401(k); education assistance; paid time off including PTO, holidays, and any other paid leave required by law.
**_EEO Statement_**
_ASRC Federal and its Subsidiaries are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, gender, color, age, sexual orientation, gender identification, national origin, religion, marital status, ancestry, citizenship, disability, protected veteran status, or any other factor prohibited by applicable law._
**Job Details**
**Job Family** **Administration**
**Job Function** **Records Management**
**Pay Type** **Salary**
**Hiring Min Rate** **84,464 USD**
**Hiring Max Rate** **126,696 USD**
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7
Quality Documentation Specialist
42102 Bowling Green, Kentucky
Colgate-Palmolive
Posted 5 days ago
Job Viewed
Job Description
No Relocation Assistance Offered
Job Number # - Bowling Green, Kentucky, United States
**Who We Are**
Colgate-Palmolive Company is a global consumer products company operating in over 200 countries specializing in Oral Care, Personal Care, Home Care, Skin Care, and Pet Nutrition. Our products are trusted in more households than any other brand in the world, making us a household name!
Join Colgate-Palmolive, a caring, innovative growth company reimagining a healthier future for people, their pets, and our planet. Guided by our core values-Caring, Inclusive, and Courageous-we foster a culture that inspires our people to achieve common goals. Together, let's build a brighter, healthier future for all.
The role of a Quality Documentation Specialist is to maintain site document management system (DMS) against regulatory requirements and compliance to the Colgate Quality Standards. This role is also responsible in assisting the quality department in effective training, assisting with management of change process lifecycle (MOC) and acting as technical resource to resolve issues. The role is responsible for utilizing continuous improvement processes and implementation as directed of best practices.
**Principal Duties and Responsibilities:**
-Assist in identifying compliance issues which need correction or improvement for key Quality systems including but not limited to Document Control / Record Management, Validation Program, Change Control, and Internal / External Audits.
-Oversee daily, weekly, monthly batching/production/packaging records and reports and ensure they are accurately maintained and reviewed for compliance both in hard copy documentation and electronic data capture systems.
-Oversee Management of Change (MOC) system for change control including support on validation of change implementation. Includes management of updates to MES / OPERA for quality electronic data collection due to changes in specifications, procedures, etc.
-Generate and maintain as directed Quality KPIs for holds, customer complaints, product & raw material non-conformances, training compliance, Good Documentation Practices, and MOC.
- Assists with hold, disposition, and release of raw materials and finished products.
-Maintains proficiency in SAP document lifecycle process flow and application for all site processes. Must be able to respond to requests to quickly retrieve, send, route for approval, review, scan, and file site records procedures, and related Hill's documentation.
-Assist Quality Compliance TL / Quality Manager in preparing / conducting training, as requested.
-Establishes a cross-functional partnership with other departments and functional areas to provide support for ensuring the achievement of the Quality department's goals.
-Understands and is accountable for full compliance with safety and other EHS requirements.
**Basic Qualifications:**
+ Bachelor's degree
+ Understanding of cGMP's and ability to lead by example.
+ Technical writing proficiency, excellent written and oral communication skills.
+ Working knowledge of business process systems such as: Microsoft or Google.
+ Ability to provide support on all shifts, including shifts and weekends as needed.
**Preferred Qualifications:**
+ Bachelor's degree in Technical areas of: Food Science, Engineering, Chemistry, Biology or Microbiology .
+ 1+ years of quality department work experience in a food manufacturing environment.
+ Previous auditing experience working with American Institute of Baking (AIB), Food and Drug Administration (FDA), United States Department of Agriculture (USDA), & Safe Quality Food (SQF).
+ Practical knowledge of site wide documentation system management.
+ Previous SAP experience.
+ FSPCA Preventative Controls for Animal Food Certification (PCQI), knowledge of HACCP & SPC.
**Compensation and Benefits**
Salary Range $60,000.00 - $70,000.00 USD
Pay is determined based on experience, qualifications, and location. Salaried employees may also be eligible for discretionary bonuses, profit-sharing, and long-term incentives for Executive-level roles.
Benefits: Salaried employees enjoy a comprehensive benefits package, including medical, dental, vision, basic life insurance, paid parental leave, disability coverage, and participation in the 401(k) retirement plan with company matching contributions subject to eligibility requirements. Additional benefits include a minimum of 15 vacation/PTO days (hourly employees receive a minimum of 120 hours) and 13 paid holidays (vacation days are prorated based on the employee's hire date within the calendar year). Paid sick leave is adjusted based on role and location in accordance with local laws. Detailed information regarding paid sick leave entitlements will be provided to employees upon hiring and may be subject to adjustments based on changes in legislation or company policies.
**Our Commitment to Inclusion**
Our journey begins with our people-developing strong talent with diverse backgrounds and perspectives to best serve our consumers around the world and fostering an inclusive environment where everyone feels a true sense of belonging. We are dedicated to ensuring that each individual can be their authentic self, is treated with respect, and is empowered by leadership to contribute meaningfully to our business.
**Equal Opportunity Employer**
Colgate is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, ethnicity, age, disability, marital status, veteran status (United States positions), or any other characteristic protected by law.
Reasonable accommodation during the application process is available for persons with disabilities. Please complete this request form ( should you require accommodation.
For additional Colgate terms and conditions, please click here ( .
#LI-On-site
Job Number # - Bowling Green, Kentucky, United States
**Who We Are**
Colgate-Palmolive Company is a global consumer products company operating in over 200 countries specializing in Oral Care, Personal Care, Home Care, Skin Care, and Pet Nutrition. Our products are trusted in more households than any other brand in the world, making us a household name!
Join Colgate-Palmolive, a caring, innovative growth company reimagining a healthier future for people, their pets, and our planet. Guided by our core values-Caring, Inclusive, and Courageous-we foster a culture that inspires our people to achieve common goals. Together, let's build a brighter, healthier future for all.
The role of a Quality Documentation Specialist is to maintain site document management system (DMS) against regulatory requirements and compliance to the Colgate Quality Standards. This role is also responsible in assisting the quality department in effective training, assisting with management of change process lifecycle (MOC) and acting as technical resource to resolve issues. The role is responsible for utilizing continuous improvement processes and implementation as directed of best practices.
**Principal Duties and Responsibilities:**
-Assist in identifying compliance issues which need correction or improvement for key Quality systems including but not limited to Document Control / Record Management, Validation Program, Change Control, and Internal / External Audits.
-Oversee daily, weekly, monthly batching/production/packaging records and reports and ensure they are accurately maintained and reviewed for compliance both in hard copy documentation and electronic data capture systems.
-Oversee Management of Change (MOC) system for change control including support on validation of change implementation. Includes management of updates to MES / OPERA for quality electronic data collection due to changes in specifications, procedures, etc.
-Generate and maintain as directed Quality KPIs for holds, customer complaints, product & raw material non-conformances, training compliance, Good Documentation Practices, and MOC.
- Assists with hold, disposition, and release of raw materials and finished products.
-Maintains proficiency in SAP document lifecycle process flow and application for all site processes. Must be able to respond to requests to quickly retrieve, send, route for approval, review, scan, and file site records procedures, and related Hill's documentation.
-Assist Quality Compliance TL / Quality Manager in preparing / conducting training, as requested.
-Establishes a cross-functional partnership with other departments and functional areas to provide support for ensuring the achievement of the Quality department's goals.
-Understands and is accountable for full compliance with safety and other EHS requirements.
**Basic Qualifications:**
+ Bachelor's degree
+ Understanding of cGMP's and ability to lead by example.
+ Technical writing proficiency, excellent written and oral communication skills.
+ Working knowledge of business process systems such as: Microsoft or Google.
+ Ability to provide support on all shifts, including shifts and weekends as needed.
**Preferred Qualifications:**
+ Bachelor's degree in Technical areas of: Food Science, Engineering, Chemistry, Biology or Microbiology .
+ 1+ years of quality department work experience in a food manufacturing environment.
+ Previous auditing experience working with American Institute of Baking (AIB), Food and Drug Administration (FDA), United States Department of Agriculture (USDA), & Safe Quality Food (SQF).
+ Practical knowledge of site wide documentation system management.
+ Previous SAP experience.
+ FSPCA Preventative Controls for Animal Food Certification (PCQI), knowledge of HACCP & SPC.
**Compensation and Benefits**
Salary Range $60,000.00 - $70,000.00 USD
Pay is determined based on experience, qualifications, and location. Salaried employees may also be eligible for discretionary bonuses, profit-sharing, and long-term incentives for Executive-level roles.
Benefits: Salaried employees enjoy a comprehensive benefits package, including medical, dental, vision, basic life insurance, paid parental leave, disability coverage, and participation in the 401(k) retirement plan with company matching contributions subject to eligibility requirements. Additional benefits include a minimum of 15 vacation/PTO days (hourly employees receive a minimum of 120 hours) and 13 paid holidays (vacation days are prorated based on the employee's hire date within the calendar year). Paid sick leave is adjusted based on role and location in accordance with local laws. Detailed information regarding paid sick leave entitlements will be provided to employees upon hiring and may be subject to adjustments based on changes in legislation or company policies.
**Our Commitment to Inclusion**
Our journey begins with our people-developing strong talent with diverse backgrounds and perspectives to best serve our consumers around the world and fostering an inclusive environment where everyone feels a true sense of belonging. We are dedicated to ensuring that each individual can be their authentic self, is treated with respect, and is empowered by leadership to contribute meaningfully to our business.
**Equal Opportunity Employer**
Colgate is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, ethnicity, age, disability, marital status, veteran status (United States positions), or any other characteristic protected by law.
Reasonable accommodation during the application process is available for persons with disabilities. Please complete this request form ( should you require accommodation.
For additional Colgate terms and conditions, please click here ( .
#LI-On-site
View Now
8
Clinical Documentation Specialist
46383 Valparaiso, Indiana
Community Health Systems
Posted 5 days ago
Job Viewed
Job Description
**Job Summary**
The Clinical Documentation Specialist (CDS) performs clinical documentation improvement (CDI) activities to support the accuracy, quality, and completeness of patient records at facilities. This role ensures that coded diagnoses and procedures reflect the patient's clinical status and care provided. The CDS collaborates with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support continuity of care, appropriate quality metrics, and regulatory compliance.
**Essential Functions**
+ Analyzes inpatient clinical records to identify opportunities for improving documentation accuracy, ensuring assigned codes reflect patient severity and acuity.
+ Adheres to corporate recommended CDI workflows and uses CDI and medical records software, such as 3M 360 Encompass and Iodine Interact, to support documentation practices.
+ Utilizes approved physician query processes to clarify documentation, ensuring queries are compliant, necessary, and non-leading, and follows up daily on unanswered queries.
+ Conducts follow-up reviews of patient records to identify new documentation opportunities and ensures accuracy through continuous review.
+ Tracks CDI activities within CDI software, accurately reporting impact metrics and maintaining clear records of all interactions and documentation efforts.
+ Provides education and training to providers, explaining recommendations for documentation improvement and offering insights through individual or group sessions.
+ Collaborates closely with coding professionals to ensure accurate diagnostic and procedural data through complete and compliant documentation.
+ Leads physician education initiatives, developing strategies to improve documentation practices at the facility level and conducting formal training sessions.
+ Monitors regulatory changes in coding, documentation, and quality metrics, ensuring compliance with updated standards and sharing information with staff as needed.
+ Creates and submits accurate reports in a timely manner, maintaining up-to-date knowledge of best practices and industry standards to support CDI goals.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Qualifications**
+ Associate Degree in Nursing, Health Information Management, or a related field required
+ Bachelor's Degree in Nursing, Health Information Management, or a related field preferred
+ 4-6 years of acute care hospital nursing experience (e.g. medical/surgical unit, intensive care) required
+ 3-5 years of experience in clinical documentation improvement, health information management, or inpatient coding preferred
+ Experience in physician education or query processes preferred
+ Familiarity with regulatory standards and quality metrics related to clinical documentation preferred
**Knowledge, Skills and Abilities**
+ Strong knowledge of clinical documentation improvement principles, inpatient coding guidelines, and quality metrics.
+ Excellent analytical and problem-solving skills to identify opportunities for documentation improvement.
+ Proficiency in CDI and medical record software systems (e.g., 3M 360 Encompass, Iodine Interact).
+ Effective communication and interpersonal skills to collaborate with physicians and interdisciplinary teams.
+ Ability to develop and deliver educational programs tailored to clinical and administrative audiences.
+ Strong organizational skills and attention to detail to manage multiple priorities and deadlines.
+ Commitment to maintaining compliance with regulatory standards and corporate policies.
**Licenses and Certifications**
+ RN - Registered Nurse - State Licensure and/or Compact State Licensure or comparable clinical license (e.g., International MD) required
+ CCS-Certified Coding Specialist or ICD-10 certification or trainer designation preferred or
+ Certified Clinical Documentation Specialist (CCDS) preferred
+ RHIT - Registered Health Information Technician preferred or
+ RHIA - Registered Health Information Administrator preferred
+ CDIP - Clinical Documentation Improvement Professional preferred or
+ Certified Coder-AHIMA or AAPC preferred
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.
The Clinical Documentation Specialist (CDS) performs clinical documentation improvement (CDI) activities to support the accuracy, quality, and completeness of patient records at facilities. This role ensures that coded diagnoses and procedures reflect the patient's clinical status and care provided. The CDS collaborates with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support continuity of care, appropriate quality metrics, and regulatory compliance.
**Essential Functions**
+ Analyzes inpatient clinical records to identify opportunities for improving documentation accuracy, ensuring assigned codes reflect patient severity and acuity.
+ Adheres to corporate recommended CDI workflows and uses CDI and medical records software, such as 3M 360 Encompass and Iodine Interact, to support documentation practices.
+ Utilizes approved physician query processes to clarify documentation, ensuring queries are compliant, necessary, and non-leading, and follows up daily on unanswered queries.
+ Conducts follow-up reviews of patient records to identify new documentation opportunities and ensures accuracy through continuous review.
+ Tracks CDI activities within CDI software, accurately reporting impact metrics and maintaining clear records of all interactions and documentation efforts.
+ Provides education and training to providers, explaining recommendations for documentation improvement and offering insights through individual or group sessions.
+ Collaborates closely with coding professionals to ensure accurate diagnostic and procedural data through complete and compliant documentation.
+ Leads physician education initiatives, developing strategies to improve documentation practices at the facility level and conducting formal training sessions.
+ Monitors regulatory changes in coding, documentation, and quality metrics, ensuring compliance with updated standards and sharing information with staff as needed.
+ Creates and submits accurate reports in a timely manner, maintaining up-to-date knowledge of best practices and industry standards to support CDI goals.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Qualifications**
+ Associate Degree in Nursing, Health Information Management, or a related field required
+ Bachelor's Degree in Nursing, Health Information Management, or a related field preferred
+ 4-6 years of acute care hospital nursing experience (e.g. medical/surgical unit, intensive care) required
+ 3-5 years of experience in clinical documentation improvement, health information management, or inpatient coding preferred
+ Experience in physician education or query processes preferred
+ Familiarity with regulatory standards and quality metrics related to clinical documentation preferred
**Knowledge, Skills and Abilities**
+ Strong knowledge of clinical documentation improvement principles, inpatient coding guidelines, and quality metrics.
+ Excellent analytical and problem-solving skills to identify opportunities for documentation improvement.
+ Proficiency in CDI and medical record software systems (e.g., 3M 360 Encompass, Iodine Interact).
+ Effective communication and interpersonal skills to collaborate with physicians and interdisciplinary teams.
+ Ability to develop and deliver educational programs tailored to clinical and administrative audiences.
+ Strong organizational skills and attention to detail to manage multiple priorities and deadlines.
+ Commitment to maintaining compliance with regulatory standards and corporate policies.
**Licenses and Certifications**
+ RN - Registered Nurse - State Licensure and/or Compact State Licensure or comparable clinical license (e.g., International MD) required
+ CCS-Certified Coding Specialist or ICD-10 certification or trainer designation preferred or
+ Certified Clinical Documentation Specialist (CCDS) preferred
+ RHIT - Registered Health Information Technician preferred or
+ RHIA - Registered Health Information Administrator preferred
+ CDIP - Clinical Documentation Improvement Professional preferred or
+ Certified Coder-AHIMA or AAPC preferred
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.
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9