Clinical Documentation Improvement Specialist

3 weeks ago


Riyadh, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full time

Oversees the functions of assigned Clinical Documentation Improvement (CDI) staff to meet the needs of the section. Act as content expert for section based upon a solid knowledge of clinical documentation, ICD-10AM coding requirements, and AR-DRG guidelines.

**Essential Responsibilities and Duties**:
1. Oversees assigned CDI staff to ensure an advanced level review of inpatient medical records to identify gaps in clinical documentation.

2. Provides advanced level review of inpatient medical records to identify gaps in clinical documentation. Provides guidance to ensure consistency of review of clinical documentation.

3. Follows up communication with the healthcare providers regarding existing clarifications to obtain needed documentation specification.

4. Conducts and encourages engagement with healthcare providers in ongoing educational sessions in regards to documentation improvement. Prepares and shares reports on any recurrent gaps, lack of compliance, and findings in the medical records to CDI manager.

5. Engages medical staff in the process of reviewing clinical documentations for better awareness and smooth knowledge transfer.

6. Evaluates sub ordinary’s performance and productivity on a monthly basis based on defined KPIs and performs ad-hoc reviews, and counsels them on areas of improvement.

7. Assists in the development of needed updates of internal policies, procedures and operation manuals for the section.

**Education**:
Master’s or Bachelor’s Degree in Nursing, Health Information Management or other Healthcare related discipline is required.

**Experience Required**:
Four (4) years of related experience with Master’s, or six (6) years with Bachelor’sDegree is required.

**Other Requirements(Certificates)**:
? Certified Clinical Documentation Improvement or Health Information Management is preferred

? Experience as an RHIA, CCC, CHIM and/or verifiable documentation review experience gained in a tertiary care setting is preferred.

? Certified Medical Coder (AR-DRG) is preferred.

? Experience with medical insurance is preferred.

? Deep knowledge of medical documentation.



  • Riyadh, Saudi Arabia Placement Global Full time

    This is a full-time on-site role for a Clinical Nurse Specialist located in Riyadh / Doha / Qatar. The Clinical Nurse Specialist will be responsible for providing direct and indirect nursing care to patients in specified areas, advocating for and implementing nursing standards and policies within the organization, and acting as a resource for the nursing...


  • Riyadh, Saudi Arabia Placement Global Full time

    This is a full-time on-site role for aClinical Nurse Specialist located in Riyadh / Doha / Qatar. TheClinical Nurse Specialist will be responsible for providing directand indirect nursing care to patients in specified areas,advocating for and implementing nursing standards and policieswithin the organization, and acting as a resource for the nursingstaff....


  • Riyadh, Saudi Arabia Ora, Inc. Full time

    Implement and administer Ora document management systems (Veeva Vault) and related procedures that allow Ora staff to capture, store, retrieve, share, and destroy electronic records and documents in a manner consistent and in accordance with SOPs, ICH GCP guidelines, FDA, and EU Directive (and other global regulatory agencies as needed).Manage documentation...


  • Riyadh, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full time

    Participates in designing and executing clinical research tasksrequired for research and/or clinical protocols; coordinates and participatesin a variety of complex activities involved in the collection, compilation,documentation and analysis of clinical research data under the direction of aPrincipal Investigator or Project Leader. **Essential...


  • Riyadh, Saudi Arabia Ora, Inc. Full time

    Implement and administer Oradocument management systems (Veeva Vault) and related proceduresthat allow Ora staff to capture, store, retrieve, share, anddestroy electronic records and documents in a manner consistent andin accordance with SOPs, ICH GCP guidelines, FDA, and EU Directive(and other global regulatory agencies asneeded).Manage documentation to...


  • Riyadh, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full time

    Develops and implements strategies to support Clinical Trials Transformation Initiative (CTTI) managers, multi-stakeholder, Gene, and Cell Therapy project teams as they develop solutions to improve clinical trials, and ensures the alignment of project objectives with the Hospital’s mission, vision, and goals. **Essential Responsibilities and Duties**: 1....


  • Riyadh, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full time

    Develops and implements strategies to support Clinical Trials Transformation Initiative(CTTI) managers and multi-stakeholder and Gene and Cell Therapy project teams as they develop solutions to improve clinical trials, and ensures the alignment of project objectives with the Hospital mission, vision, and goals. **Essential Responsibilities and Duties**: 1....


  • Riyadh, Saudi Arabia Edwards Lifesciences Full time

    Aortic stenosis impacts millions of people globally, yet it often remains under-diagnosed and under-treated. Edwards’ groundbreaking work in transcatheter aortic heart valve replacement (TAVR) pioneered an innovative, life-changing solution for patients by offering heart valve replacement without the need for open heart surgery. Our Transcatheter Heart...


  • Riyadh, Saudi Arabia King Faisal Specialist Hospital and ResearchCenter Full time

    educationBachelor's degreein Clinical Nutrition from an accredited university, and completionof one (1) year of training in Nutrition from an accreditedinstitute is required.Requiredexperiences* Eighth grade:Two (2)years of relevant experience as a hospital clinical dietitian isrequired. * Row09:Four (4) years as a clinical dietitian 2 atKing Faisal...


  • Riyadh, Saudi Arabia King Faisal Specialist Hospital and Research Center Full time

    educationBachelor's degree in Clinical Nutrition from an accredited university, and completion of one (1) year of training in Nutrition from an accredited institute is required.Required experiences* Eighth grade:Two (2) years of relevant experience as a hospital clinical dietitian is required. * Row 09:Four (4) years as a clinical dietitian 2 at King...

  • Specialist Physician

    3 weeks ago


    Riyadh, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full time

    Provides medical care in the field of speciality and supervises interns and residents, as requested by the Consultant and in accordance with current medical staff bylaws, rules and regulations and the Hospital’s policies and procedures. **Essential Responsibilities and Duties**: - Clinical Responsibilities: - Applies medical techniques and principles...


  • Riyadh, Saudi Arabia Parsons Full time

    Parsons is looking for an amazingly talented **Continuous Improvement Specialist **to join our team! **What You'll Be Doing**: - Preparing and implementing quality assurance policies and procedures - Develops and maintains Quality Policy, Processes, Procedures, and related documents. Reviews Quality Manuals, documents, and implementation procedures to...


  • Riyadh, Saudi Arabia Serco Plc Full time

    Continuous Improvements Specialist Make a difference every day  We are a multinational organization with a global team of 50,000 colleagues. In the Middle East we operate in the Transport, Defence & Advisory sectors, delivering services in Asset Management, Customer Experience, Fire & Rescue and Air Navigation Services. We are innovators, committed to...


  • Riyadh, Saudi Arabia Celero - Providing optimal returns to innovative biotechs Full time

    Assists in the preparation and submission of clinical trial documents for review of ethics committees.Conducts identification, evaluation, qualification, initiation, monitoring and visits of investigators and sites (including close-out visits).Checks implementation of company standard operational procedures (SOPs), sponsor procedures, ICH/GCP guidelines and...

  • Clinical Coordinator

    4 weeks ago


    Riyadh, Saudi Arabia King Faisal Specialist Hospital and Research Centre Full time

    Responsible for assisting in operation of the outpatient clinics and patient care. **Essential Responsibilities and Duties**: 1. Ensures quality assurance and performance improvement programs are developed and implemented in accordance with Joint Commission International (JCI) standards and the hospital quality program. Actively participates in KFSH&RC...


  • Riyadh, Saudi Arabia Novo Nordisk Full time

    Clinical Research Associate **Category**:Clinical Development**Location**:Riyadh, Riyadh, SA- Are you a dedicated clinical trial professional with direct site management experience? Are you highly motivated by being able to make a difference in improving patients’ lives? If yes, keep reading - this role might be just for you!- Novo Nordisk is on the...


  • Riyadh, Ar Riyāḑ, Saudi Arabia Serco Plc Full time

    Document Control Specialist - Saudi NationalMake a difference every day We are a multinational organisation with a global team of 50,000 colleagues. In the Middle East we operate in the Transport, Defence & Advisory sectors, delivering services in Asset Management, Customer Experience, Fire & Rescue and Air Navigation Services. We are innovators, committed...

  • Clinical Specialist

    4 weeks ago


    Riyadh, Saudi Arabia AlignTech Full time

    **This job is for** **Align’s local agent** **in KSA and employment is not provided via Align Technology** **Join a team that is changing millions of lives.** Transforming smiles, changing lives. At Align Technology, we believe a great smile can transform a person’s life, so we create technology that gives people the confidence to take on whatever’s...


  • Riyadh, Saudi Arabia Philips Full time

    Job TitleModality Sales Specialist (Clinical Integration & Insights)Job DescriptionJob title: Modality Sales Specialist (Clinical Integration & Insights)Accelerate the growth of Clinical Integration & Insights ( Capsule) Businesses by promoting our advanced technologies and product features and ensure successful launch of new products/solutions in META.Your...

  • Clinic Supervisor

    4 weeks ago


    Riyadh, Saudi Arabia 1st Talent Full time

    **WE ARE HIRING FOR A CLINICAL CENTER IN DAMMAM, KSA "Onsite Clinic Supervisor"** **Job Summary**: Clinic Supervisors are responsible for organizing and overseeing the daily activities of a healthcare facility. They manage staff, communicate with different departments, and ensure utmost patient care amongst other duties. They should be confident and...