211 Clinical Documentation Jobs - Page 3

About Children First Children First is a leading child and adolescent mental health service provider in Delhi- NCR and online, offering holistic, evidence-based, and multidisciplinary care for children, adolescents, and their families, for more than a decade. We are committed to fostering emotional resilience and mental well-being in children and young adults, up to the age of 25 years, through inclusive, trauma-informed, child- led and family-centred approaches. The CF team is led by Dr. Amit Sen, Dr. Shelja Sen and Dr. Kavita Arora, who have deep expertise and extensive experience in the child and adolescent mental health space and our team includes psychologists, therapists, and psychiatr...

Responsibilities: Medical Scribe Clinical Scribe Healthcare Scribe Medical Transcriptionist (if they have transitioned) Medical Documentation Specialist Electronic Health Record (EHR) Scribe Remote Medical Scribe Virtual Medical Scribe Medical Terminology Anatomy and Physiology Medical Charting Accurately document patient history, physical examination, and procedures in EHRs. Independently manage documentation for multiple physicians. Ensure timely and accurate completion note annotation. Review and edit medical note documentation for accuracy and completeness. Assist with quality assurance and compliance initiatives. Provide guidance and training to junior annotator. Stay updated with medic...

Responsibilities: Medical Scribe Clinical Scribe Healthcare Scribe Medical Transcriptionist (if they have transitioned) Medical Documentation Specialist Electronic Health Record (EHR) Scribe Remote Medical Scribe Virtual Medical Scribe Medical Terminology Anatomy and Physiology Medical Charting Accurately document patient history, physical examination, and procedures in EHRs. Independently manage documentation for multiple physicians. Ensure timely and accurate completion note annotation. Review and edit medical note documentation for accuracy and completeness. Assist with quality assurance and compliance initiatives. Provide guidance and training to junior annotator. Stay updated with medic...

Responsibilities: Accurately document patient history, physical examination, and procedures in EHRs. Independently manage documentation for multiple physicians. Ensure timely and accurate completion note annotation. Review and edit medical note documentation for accuracy and completeness. Assist with quality assurance and compliance initiatives. Provide guidance and training to junior annotator. Stay updated with medical terminology and clinical workflows. Maintain patient confidentiality and adhere to HIPAA regulations. Qualifications: US RN (any state) Minimum 2-5 years of bed side experience. Strong knowledge of medical terminology, anatomy, and physiology. Excellent typing and computer s...

Greetings From Zealous Health Care! Join Our Team at Zealous Healthcare (Home Health Coding) Position: Home Health Coders Experience: 1 to 4 Years in Home Health Coding Qualification: Graduation in Life Sciences (mandatory) Location: Chennai (Nungambakkam) Home Health Clinical Reviewer ICD-10, OASIS-E, POC (Level 2 & 3) Job Summary: We are seeking an experienced and detail-oriented Home Health Clinical Reviewer with expertise in ICD-10 coding, OASIS-E assessments, and Plan of Care (POC) reviews at Levels 2 and 3. The ideal candidate will ensure clinical documentation accuracy, regulatory compliance, and optimal reimbursement through precise coding and thorough review of patient records. This...

Working with Us Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every day, in every department. From optimizing a production line to the latest breakthroughs in cell therapy, this is work that transforms the lives of patients, and the careers of those who do it. You'll get the chance to grow and thrive through opportunities uncommon in scale and scope, alongside high-achieving teams. Take your career farther than you thought possible. Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment. We offer a w...

Preferred candidate profile Candidates who is currently based out in Hyderabad is only eligible Role & responsibilities Perform concurrent reviews of inpatient records using EHR platforms Identify documentation gaps and issue compliant, patient-specific queries Apply knowledge of DRG classification, ICD-10-CM/PCS, and coding guidelines Maintain accurate logs of reviews, query status, and follow-ups in designated systems Achieve productivity and quality benchmarks under the CDI program

You will be joining Sir H.N. Reliance Foundation Hospital & Research Centre, a premier 345-bed multi-specialty tertiary care hospital in Mumbai committed to excellence in healthcare. Established in 1918, the institution upholds values that prioritize respect for life. The hospital offers cutting-edge diagnostic services and medical technology across various specialties, including Cardiac Sciences and Oncology. For more information, visit rfhospital.org. As a Departmental Coordinator in the Anesthesia department, your responsibilities will include: - Providing secretarial and administrative assistance to the Head of Department and Consultant Anesthetists, managing correspondence and daily tas...

Job description Responsibilities Flag relevant symptoms and treatment Create footnotes with definitions of uncommon medical terms Create timelines and charts to highlight treatment from relevant period(s) of care Identify missing records and bills Adhere to production and quality milestones Summarize the case history of patients for deep analysis of medical records required Minimum qualifications: BDS / MDS / BPT / MPT / BHMS / BAMS / BUMS Bpharma are eligible only if they have minimum 1 year of corporate experience. Preferred qualifications and skill sets: Preferred additional internship / corporate experience beyond patient care Knowledge of US Culture/ US Healthcare System Knowledge of di...

As an Acute or Acute Adult Nurse Practitioner at Signet Health managing the Behavioral Health Services for Medstar Washington Hospital Center, you will be a valuable member of a great team. Your role will involve performing H&Ps on newly admitted patients on behavioral health inpatient units and ensuring follow-through on other medical illnesses. Additionally, you will participate in interdisciplinary treatment planning, agency-wide training programs, and in-services. Your contribution will include providing quality and timely clinical documentation in compliance with Joint Commission and other regulatory agencies requirements. Key Responsibilities: - Perform H&Ps on newly admitted patients ...

As an Advanced Practice Provider (APRN) or NP with Acute Care Experience at Signet Health managing the Behavioral Health Services for Medstar Washington Hospital Center, you will be joining a great team with a competitive compensation package that includes a $20,000 Retention Bonus. Your essential functions in this role will involve performing H&Ps on newly admitted patients on behavioral health inpatient units, participating in interdisciplinary treatment planning, agency-wide training programs and in-services, as well as providing quality and timely clinical documentation in accordance with Joint Commission and other regulatory agencies requirements. Key Responsibilities: - Perform H&Ps on...

As a Graduate at ISPAT Post Graduate Institute and Super Specialty Hospital in Rourkela, Odisha, you will be responsible for the following: - Assisting in patient care activities - Collaborating with healthcare professionals to provide high-quality services - Participating in training and development programs - Maintaining accurate patient records To qualify for this position, you should have: - A degree in a relevant field - Strong communication and interpersonal skills - Ability to work in a fast-paced environment - Willingness to learn and adapt to new situations Please note that this is a full-time position based in Rourkela, Odisha.,

You will be joining Children First, a leading child and adolescent mental health service provider in Delhi-NCR and online, dedicated to offering holistic, evidence-based, and multidisciplinary care for children, adolescents, and their families. The team, led by Dr. Amit Sen, Dr. Shelja Sen, and Dr. Kavita Arora, is committed to fostering emotional resilience and mental well-being in children and young adults up to the age of 25 years through inclusive, trauma-informed, child-led, and family-centered approaches. **Role Overview:** As a qualified and empathetic Child and Adolescent Psychiatrist, your role will involve: - Conducting comprehensive psychiatric evaluations for children, adolescent...

As a Developmental Pediatrician in our team, you will play a crucial role in assessing and diagnosing developmental conditions in children. Your responsibilities will include: - Conducting developmental assessments and comprehensive evaluations. - Diagnosing and managing conditions such as autism spectrum disorder (ASD), ADHD, learning disabilities, cerebral palsy, speech delays, etc. - Providing guidance to families regarding prognosis, management, and therapeutic options. - Collaborating with a multidisciplinary team to develop individualized treatment plans. - Monitoring progress and modifying care plans as needed. - Maintaining detailed clinical documentation in compliance with medical s...

As an Associate Consultant in Surgical Oncology for a premier multi-specialty healthcare institution in Bhavnagar, you will play a crucial role in providing comprehensive cancer treatment through surgery and integrated clinical care. Your responsibilities will involve surgical interventions, clinical duties, cancer management, diagnostic support, preventive care, documentation, and mentorship. - Independently or under supervision, perform various oncologic surgeries including tumor resections, staging surgeries, biopsies, and lymphadenectomies. - Conduct thorough pre-operative assessments and post-operative monitoring for optimal surgical outcomes. - Participate in the development of compreh...

About The Opportunity Healthcare Pediatrics / Child Health Services sector. We deliver comprehensive pediatric care across outpatient, inpatient and emergency settings to improve child health outcomes at scale. This role is fully on-site in India and focuses on delivering evidence-based, family-centred clinical care for newborns, infants, children and adolescents. Position: Consultant Pediatrician Role & Responsibilities Provide high-quality clinical care across OPD, ward rounds and emergency departments: assess, diagnose and treat acute and chronic pediatric conditions. Manage inpatient care for neonates, infants and children including admission/discharge decisions, daily review, medication...

Role & responsibilities Review and audit interventional radiology coding performed by coders Ensure coding accuracy and compliance with ICD-10, CPT, and hospital policies Identify coding errors, trends, and provide corrective guidance Collaborate with coders, billing, and clinical teams to resolve discrepancies Maintain quality metrics and generate regular QA reports Participate in training sessions to enhance team knowledge and reduce errors Stay updated with coding guidelines, regulatory changes, and best practices Preferred candidate profile Strong knowledge of interventional radiology procedures (angiography, embolization, stent placement, biopsies, etc.) Attention to detail and analytic...

Role & responsibilities Supervise a team of coders working on E&M, Orthopedics, and Basic Surgery cases Review coding accuracy and ensure compliance with ICD-10, CPT, and hospital coding standards Manage denial cases: analyze, appeal, and prevent recurring errors Provide guidance, mentorship, and training to team members Collaborate with billing, clinical, and finance teams to resolve queries Monitor team performance and prepare regular reports on productivity, quality, and denial trends Stay updated with coding guidelines, payer rules, and healthcare regulations Identify process improvements to enhance accuracy and efficiency Preferred candidate profile Strong knowledge of E&M coding, Ortho...

Job Opportunity: MBBS Doctor (2–5 Years Experience) – rTMS Clinic, Bangalore Location: Koramangala, Bangalore Position:Full-Time, 6 days and 9 hours per day Experience Required: 2–5 years (Post MBBS) We are looking for an MBBS-qualified doctor with 2–5 years of clinical experience to join our team in managing patients undergoing **repetitive Transcranial Magnetic Stimulation (rTMS)** therapy. This is a full-time role involving both patient care and professional psychiatrists-relationship management. Key Responsibilities - Manage and oversee patients undergoing rTMS treatment at the clinic. - Ensure proper documentation, treatment records, and adherence to clinical governance protocols. - Coo...

About The Opportunity A leading provider in the Healthcare & Rehabilitation Services sector, our multidisciplinary clinics partner with K12 institutions to deliver evidence-based therapy programs that improve functional, academic, and social outcomes. We are expanding our Mumbai center to meet rising demand for student-centred, outcome-driven occupational therapy. Role & Responsibilities Conduct comprehensive sensory, motor, and functional assessments for children aged 316, documenting baseline abilities and therapy goals. Design individualized treatment plans focused on fine-motor, ADL, handwriting, and sensory-processing skills aligned with academic curricula. Deliver hands-on therapy sess...

Role Overview: As an experienced Business Analyst specializing in US healthcare clinical workflows, your role involves bridging the communication gap between clinical teams and technical teams. You will be responsible for ensuring the development of efficient and compliant solutions by gathering and analyzing requirements related to clinical decision support, patient data exchange, care transitions, and regulatory compliance. Key Responsibilities: - Write Business Requirement Documents (BRDs) for clinical applications - Create workflow diagrams to represent processes accurately - Conduct User Acceptance Testing (UAT) to ensure the functionality meets requirements - Collaborate with various s...

Role Overview: As a Medical Coder/Senior Coder/QA, your primary responsibility will be to assign codes, abstract information, maintain knowledge, and ensure accuracy and quality in the coding process. You will review and analyze patient medical records to ensure accurate code assignment, adhere to coding guidelines and regulatory requirements, and effectively utilize medical coding software. Key Responsibilities: - Assign codes and abstract information from patient medical records - Review and analyze patient medical records to ensure accurate code assignment - Adhere to coding guidelines and regulatory requirements - Utilize medical coding software effectively - Apply understanding of anato...

The ideal candidate will be responsible for delivering specialized nursing care to newborns requiring intensive care in the Neonatal Intensive Care Unit (NICU).Provide round-the-clock care to premature or critically ill newborns in the NICU.

Job description Responsibilities Flag relevant symptoms and treatment Create footnotes with definitions of uncommon medical terms Create timelines and charts to highlight treatment from relevant period(s) of care Identify missing records and bills Adhere to production and quality milestones Summarize the case history of patients for deep analysis of medical records required Minimum qualifications: BDS / MDS / BPT / MPT / BHMS / BAMS / BUMS Preferred qualifications and skill sets: Preferred additional internship / corporate experience beyond patient care Knowledge of US Culture/ US Healthcare System Knowledge of disease conditions, treatments, tests, and medications Ability to provide root ca...

Assist in writing drug trial methodologies and procedural documentation. Support the identification and briefing of appropriate trial investigators (clinicians). Coordinate with clinical sites and ensure effective communication with trial centre staff. Help design trial materials and ensure study centres receive sufficient quantities of all required documents and supplies. Collaborate closely with internal teams and investigators to ensure smooth trial execution. Maintain updated trial records and assist in compliance with regulatory requirements.