Clinical Documentation Specialist

36536 Foley, Alabama Baldwin Health

Posted 7 days ago

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Job Description

Job Description Job Description

REQUIRED:

  • 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

What We Offer

  • Health Insurance Eligibility 1st of the month following 30 days of employment for full and part time employees
  • Tuition Reimbursement & SoFi Student Loan Repayment Plans
  • 3% 401k Employer Matching
  • Company Provided Renewal of BLS, ACLS & PALS

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

INDNUR

To apply, please email

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Manager Imaging

36536 Foley, Alabama Community Health System

Posted 7 days ago

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Job Description

As the Manager of Imaging at Baldwin Health, you will be crucial in providing quality care to our patients. Our employees benefit from a comprehensive package that includes medical, dental, and vision insurance and a 401(k) retirement program.

Job Summary

The Manager, Imaging leads and oversees the medical imaging department, ensuring high-quality imaging services, compliance with healthcare regulations, and the implementation of best practices. The manager will coordinate with medical staff, supervise imaging technologists, manage departmental budgets, and drive continuous improvement initiatives to enhance patient care and operational efficiency.

Essential Functions

* Assists Director, Imaging with daily operations of all Imaging areas as needed.
* Ensures workflow is organized and efficient and arrange for staffing priorities.
* Utilizes effective interpersonal skills to interact and communicate with patients, families, coworkers, medical staff and visitors.
* Participates in education of new orientees, ancillary staff, and students.
* Serves as an expert resource for staff.
* Ensures supplies and equipment for patient care are readily available and organized
* Assists Imaging Director with budgetary planning
* Establishes, monitors, and implements quality improvement processes
* Assists the department director with annual personnel performance evaluations and competency checks.
*
* Performs other duties as assigned.
* Complies with all policies and standards.

Qualifications

* Associate Degree from an accredited program in Radiologic Technology required
* Bachelor's Degree in Radiologic Technology or healthcare related field preferred
* 3-5 years experience as a Radiologic Technologist required
* 2-4 years Supervisory experience in an Imaging area preferred

Knowledge, Skills and Abilities

* Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines
* Ability to communicate effectively in both oral and written form
* Ability to handle difficult and stressful situations with critical thinking and professional composure
* Excellent interpersonal skills with ability to interact effectively with patients, families, healthcare professionals and external vendors
* Ability to operate and understand radiographic technology and equipment/applications
* Basic computer skills
* Ability to demonstrate ethical and professional behaviors at all times
* Ability to maintain patient confidentiality and privacy and comply with all HIPPA requirements
* Ability to use initiative and independent judgment
* Knowledge of radiation safety and protection procedures

Licenses and Certifications

* ARRT - American Registry of Radiologic Technologists required and
* Licensed Radiologic Technologist As required by state required and
* BCLS - Basic Life Support required

We understand that finding a job is not just about the position itself; it's about discovering a workplace where you are respected and valued, your work is meaningful, your talents are recognized, professional development is supported, and opportunities for career advancement are available.

At Baldwin Health, we strive to motivate, inspire, and help you grow. If you are looking for the best, we invite you to learn more and apply today!

INDLEAD
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Care Coordinator

36624 Mobile, Alabama VIVA Health

Posted 8 days ago

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Job Description

Care Coordinator

Nurses and Social Workers! VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is currently seeking a Care Coordinator in Mobile, AL! VIVA HEALTH knows that nursing and social work is not just a job, it is a calling. If you would like to fulfill your calling in healthcare, check us out! We offer regular hours with no mandatory nights or weekends. This way you can do what you love at work and can take care of the people you love at home! We also offer a great benefits package including tuition reimbursement for employees and dependents, paid parental leave, and paid day for community service, just to name a few!

VIVA HEALTH employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. Come join our team!

Care Coordinators use psychosocial and/or clinical knowledge to provide non-clinical services for Medicaid recipients to improve the medical compliance and health outcomes of the populations served. This position identifies barriers to medical compliance such as lack of transportation, illiteracy, or other social determinants that impact a member's health, and ensures services are delivered and continuity of care is maintained. The position analyzes the home and community environment and makes autonomous decisions regarding appropriate care plans and goals using a thorough knowledge of available community resources. These services are provided primarily in community and home settings via phone and/or in person. Local daytime travel is required via a reliable means of transportation insured following Company policy. This position will have work-from-home opportunities.

General Care Coordination Required:

  • Licensed BSN/ADN
  • Licensed BSW

Preferred:

  • Licensed MSW and/or Certified Case Manager (CCM) designation
  • Experience in case management, human services, public health, or experience with the underinsured population

Also requires a valid driver's license in good standing, willingness to submit to vaccine testing and screening, and may require significant face-to-face member contact with duties performed away from the principal place of business. All positions require excellent interview and telephone skills as well as the ability to deal with recipients in a caring and helpful manner. The Care Coordinators should have a working knowledge of health-related service delivery systems and excellent communication and relationship skills. This position requires the ability to analyze varied environmental factors to members' well-being and work independently in an autonomous setting and the ability to locate, augment, and develop resources, including information on services offered by other agencies.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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Clinical Supervisor

36624 Mobile, Alabama Behavioral Health Group

Posted 11 days ago

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Job Description

Clinical Supervisor

The Clinical Supervisor oversees the clinical supervision of counselors in training or working towards certification/licensure and provides guidance to the counseling team. They help patients identify and leverage strengths for social, educational, and occupational goals, supporting their transition to a drug-free life. Reporting to the Program Director, the Clinical Supervisor ensures adherence to schedules, program policies, and regulatory requirements.

Pay: $25 - $27.00 Schedule: 5:00 AM 1:30 PM Education: Master's degree required

Licensure: Must hold one of the following active Colorado licenses: LCSW, LMFT, LAC, or LPC

Responsibilities:

  • Supervise and mentor counselors, providing feedback and documentation.
  • Conduct one-on-one and group therapy sessions.
  • Provide hands-on training through observation and case record review.
  • Facilitate weekly supervision sessions with feedback and mentoring.
  • Conduct regular counseling sessions as required by regulations.
  • Develop and revise patient treatment plans, maintaining comprehensive records.
  • Document patient contacts and ensure case-management follow-ups.
  • Implement new programs and advise on caseload management.
  • Lead and participate in treatment team meetings.
  • Provide in-service training and stay updated on addiction treatment trends.
  • Coordinate care with community providers and handle crisis interventions.
  • Conduct peer file reviews and assess clinical service quality.
  • Ensure compliance with federal, state, and local regulations and accrediting agencies.
  • Encourage unlicensed counselors to obtain licensure/certification.
  • Participate in community and public relations activities.

Minimum Requirements:

  • Comply with federal and state regulations for certification, licensure, and degree.
  • Strong customer service and interpersonal communication skills
  • Ability to work independently under pressure and handle multiple tasks.
  • Proper judgment with confidential and sensitive issues
  • Effective decision-making in stressful situations
  • Knowledge of human behavior and rehabilitation of drug-dependent patients
  • Familiarity with the substance abuse population and treatment planning
  • Basic computer skills and proficiency with office equipment

Physical Requirements and Working Conditions:

  • Effective communication skills by phone or in person
  • Adequate vision for reading correspondence, computer screens, and forms.
  • Prolonged sitting with some bending, stooping, or stretching.
  • Ability to handle variable workloads and high-stress levels.
  • Standard medical office environment
  • Interaction with patients who may be ill, have infectious diseases, mental health diagnoses, or involvement in the criminal justice system
  • Long periods of keyboarding

Why Join BHG?

Quarterly Bonuses

Work-Life Balance: Enjoy generous paid time off, holidays, and personal needs. Benefit from flexible schedules with early in/early out hours, no nights, and no Sundays.

Investment in Your Growth: Prioritize your development with role-based training and advancement opportunities.

Comprehensive Benefits: Choose from three benefits programs, including health, life, vision, and dental insurance. Enjoy tuition reimbursement and competitive 401K match.

Recognition and Rewards: Experience competitive pay, quarterly bonuses, and incentives for certifications or licenses.

Employee Perks: Access exclusive discounts on various services and entertainment options, and benefit from our Employee Assistance Program and self-care series.

At BHG, we thrive on the greatness of our people. Join us and become part of a community that values excellence, integrity, and making a real difference in the lives of others.

BHG is an equal opportunity, affirmative action employer providing equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law.

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Patient Services Clerk

36624 Mobile, Alabama Infirmary Health System Inc

Posted 12 days ago

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Job Description

Minimum Qualifications:High School or GED equivalent Good verbal/written communication skills. General computer skills Responsibilities Performs a variety of clerical and administrative duties to ensure customer satisfaction and efficient department/ Patient Services, Clerk, Patient, Retail, Healthcare

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Personal Care Aide

36507 Bay Minette, Alabama Addus HomeCare

Posted 12 days ago

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Job Description

Offering DAILY PAY for select positions!

Take advantage of this unique opportunity to learn the fundamentals of quality home care and deliver life-changing service to your clients. As an Addus Personal Care Aide, you will play a vital role in supporting seniors and people with disabilities living independently. This rewarding position provides consistent, flexible hours to accommodate your personal needs, while providing a great career with a growing, innovative industry leader.

If you have a genuine passion for helping others, and you are looking for a meaningful, fulfilling career with a dynamic, value-driven organization that recognizes and supports your contribution, we invite you to join our team.

Essential Duties:

  • Follow specific care plans for clients and report on completed tasks.
  • Assist with personal care needs of the client (bathing, dressing, etc.).
  • Provide or assist in routine house cleaning, meal preparation, and laundry.
  • Run essential errands
  • Assist client with the self-administration of medications.
  • Observe and report any changes in client's condition.
  • Always maintain a high degree of confidentiality due to access to sensitive information.
  • Maintain regular, predictable, consistent attendance and is flexible to meet the needs of the department.
  • Follow all Medicare, Medicaid, and HIPAA regulations and requirements.
  • Abide by all regulations, policies, procedures, and standards.
  • Perform other duties as assigned.

Position Requirements & Competencies:

  • Must be 18 years of age
  • Must be a Certified Home Health or Personal Care Aide
  • Pre-employment physical examination/PPD prior to patient contact
  • Must be able to pass a criminal background check
  • Must have reliable transportation; if by car, a valid driver's license and proof of insurance is required
  • Nurturing and compassionate nature with the desire to care for others
  • Ability to work with limited supervision
  • Ability to follow written and verbal instructions
  • Good communication and people skills
  • Reliable, energetic, self-motivated and well organized.

Addus provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index. View the full rankings here:

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Personal Care Aide (FT and PT)

36526 Daphne, Alabama Amada Senior Care

Posted 12 days ago

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Job Description

Amada Senior Care - 1203 US Highway 98 Building 1 -Suite D & E - (PCA / Health Aide) - Paid Training / Referral Bonus / Retirement Plan Options / Competitive Pay: $14-$16 - As a Personal Care Aide you'll: Provide non-medical assistance and support to clients in their homes; Help clients with daily living activities, personal care, light housekeeping, and companionship to ensure clients maintain their independence, dignity, and overall well-being; Provide emotional support and engage clients in meaningful conversations and activities to reduce feelings of loneliness and isolation; Prepare nutritious meals according to dietary needs and preferences, and assist with feeding if necessary; Remind clients to take prescribed medications as directed by healthcare professionals.Hiring Fast >>

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About the latest Healthcare Jobs in Spanish Fort !

Personal Care Aide

36526 Daphne, Alabama Addus HomeCare

Posted 13 days ago

Job Viewed

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Job Description

Offering DAILY PAY for select positions!

Take advantage of this unique opportunity to learn the fundamentals of quality home care and deliver life-changing service to your clients. As an Addus Personal Care Aide, you will play a vital role in supporting seniors and people with disabilities living independently. This rewarding position provides consistent, flexible hours to accommodate your personal needs, while providing a great career with a growing, innovative industry leader.

If you have a genuine passion for helping others, and you are looking for a meaningful, fulfilling career with a dynamic, value-driven organization that recognizes and supports your contribution, we invite you to join our team.

Essential Duties:

  • Follow specific care plans for clients and report on completed tasks.
  • Assist with personal care needs of the client (bathing, dressing, etc.).
  • Provide or assist in routine house cleaning, meal preparation, and laundry.
  • Run essential errands
  • Assist client with the self-administration of medications.
  • Observe and report any changes in client's condition.
  • Always maintain a high degree of confidentiality due to access to sensitive information.
  • Maintain regular, predictable, consistent attendance and is flexible to meet the needs of the department.
  • Follow all Medicare, Medicaid, and HIPAA regulations and requirements.
  • Abide by all regulations, policies, procedures, and standards.
  • Perform other duties as assigned.

Position Requirements & Competencies:

  • Must be 18 years of age
  • Must be a Certified Home Health or Personal Care Aide
  • Pre-employment physical examination/PPD prior to patient contact
  • Must be able to pass a criminal background check
  • Must have reliable transportation; if by car, a valid driver's license and proof of insurance is required
  • Nurturing and compassionate nature with the desire to care for others
  • Ability to work with limited supervision
  • Ability to follow written and verbal instructions
  • Good communication and people skills
  • Reliable, energetic, self-motivated and well organized.

Addus provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index. View the full rankings here:

View Now
 

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