Clinical Documentation Improvement Specialist

Oneida Health

Clinical Documentation Improvement Specialist enhancing healthcare documentation accuracy within EHR systems. Collaborating with clinical teams to ensure precise coding and implementing documentation improvement strategies.

Posted 7/28/2026full-timeOneida • New York • 🇺🇸 United StatesMid-LevelSenior💰 $22 - $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in clinical documentation improvement, coding guidelines, and healthcare regulations while effectively collaborating with multidisciplinary teams to enhance documentation accuracy and compliance. Proficient in training clinical staff and implementing process improvements based on coding and documentation trends.

Highest-signal resume keywords

Certified Clinical Documentation Improvement Specialist (CCDS)Certified Coding Specialist (CCS)Meditech EHR ProficiencyClinical Documentation ImprovementCoding Guidelines Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Documentation ImprovementCoding Guidelines KnowledgeHealthcare Regulations UnderstandingDocumentation Accuracy ReviewProcess Improvement Analysis

Soft Skills

Excellent CommunicationInterpersonal SkillsCollaboration with Multidisciplinary Teams

Tools & Technologies

Meditech EHR System

Certifications & Qualifications

Certified Clinical Documentation Improvement Specialist (CCDS)Certified Coding Specialist (CCS)

Industry Keywords

HealthcareClinical ExperienceDocumentation ImprovementCoding ComplianceBest Practices

About the role

Key responsibilities & impact

Conduct thorough reviews of patient medical records to identify opportunities for enhanced documentation accuracy.
Collaborate with physicians, nurses, and other healthcare professionals to obtain clarification and additional information supporting precise coding.
Educate and train clinical staff on best practices for documentation improvement and coding guidelines.
Analyze coding and documentation trends to identify areas for process improvement and implement strategies to address deficiencies.
Assist in developing and implementing policies and procedures related to clinical documentation improvement.
Stay updated on changes in coding guidelines, regulations, and Meditech updates to ensure compliance and adherence to best practices.

Requirements

What you’ll need

Bachelor's degree in nursing, health information management, or relevant field; prior experience will be considered.
Clinical experience in a healthcare setting, preferably in a hospital environment.
Certified Clinical Documentation Improvement Specialist (CCDS) or Certified Coding Specialist (CCS) certification preferred.
Proficiency in working with Meditech EHR system.
Strong knowledge of coding guidelines, healthcare regulations, and clinical documentation requirements.
Excellent communication and interpersonal skills.
Ability to collaborate effectively with multidisciplinary teams.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Oneida Health Website LinkedIn All Job Openings 1001 - 5000 employees 🏥 Healthcare 🏨 Hospitality 🤝 Non-profit Healthcare
Hospitality
Non-profit Oneida Health is a healthcare organization based in Oneida, NY operating a hospital and associated services. The website content indicates patient services like a patient portal, pay your bill, medical records requests; clinical services including PET/CT (Holmes Siemens Biograph mCT), specialty, primary care, cancer services; COVID-19 response plans and visitor guides; employment and training programs (CNA training, nurse residency, allied health partnership); community and foundation activities (foundation fundraising, volunteer programs, charity events, golf classic); compliance, privacy, and patient rights policies; resources for patients, employees, and community. It appears to be a midsize regional health system offering inpatient and outpatient care, diagnostics, specialty care, and community health programs. Clinical Documentation Improvement Specialist 🔥 21 minutes ago 🏢🏡 Oneida – Hybrid 💵 $22 - $27 / hour ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥📝 Medical Writer Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Conduct thorough reviews of patient medical records to identify opportunities for enhanced documentation accuracy.
Collaborate with physicians, nurses, and other healthcare professionals to obtain clarification and additional information supporting precise coding.
Educate and train clinical staff on best practices for documentation improvement and coding guidelines.
Analyze coding and documentation trends to identify areas for process improvement and implement strategies to address deficiencies.
Assist in developing and implementing policies and procedures related to clinical documentation improvement.
Stay updated on changes in coding guidelines, regulations, and Meditech updates to ensure compliance and adherence to best practices. 🎯 Requirements
Bachelor's degree in nursing, health information management, or relevant field; prior experience will be considered.
Clinical experience in a healthcare setting, preferably in a hospital environment.
Certified Clinical Documentation Improvement Specialist (CCDS) or Certified Coding Specialist (CCS) certification preferred.
Proficiency in working with Meditech EHR system.
Strong knowledge of coding guidelines, healthcare regulations, and clinical documentation requirements.
Excellent communication and interpersonal skills.
Ability to collaborate effectively with multidisciplinary teams. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Is Remote Rocketship legit? Privacy policy Terms of service Job board SEO course Remote Job Search MasterClass AI Apply Copilot OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs