Clinical Documentation Auditor ? CHHA Department: Compliance / Clinical Review / Care Standards ... OASIS - Visit documentation (nursing, therapy, aide) - Plan of Care compliance - MD order ...
Clinical Documentation Auditor ? CHHA Department: Compliance / Clinical Review / Care Standards ... OASIS - Visit documentation (nursing, therapy, aide) - Plan of Care compliance - MD order ...
Clinical Documentation Specialist - Clinical Documentation
San Angelo, TX · On-site
$33.50 - $45/hr
Job Summary The clinical documentation specialist works collaboratively with providers and coding ... The ability to consistently lift, push or pull loads of up to fifty (50) pounds. (Unless nursing 50)
Clinical Documentation Specialist - Clinical Documentation
San Angelo, TX · On-site
$33.50 - $45/hr
Job Summary The clinical documentation specialist works collaboratively with providers and coding ... The ability to consistently lift, push or pull loads of up to fifty (50) pounds. (Unless nursing 50)
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
Clinical Documentation Improvement Specialist (RN)
Albuquerque, NM · On-site
$34 - $45/hr
The HNF Documentation Nurse is responsible for overseeing clinical documentation, completing, updating, and ensuring accuracy of all High Nursing Facility Level (HNF) and related clinical ...
The Clinical Documentation Registered Nurse collaborates extensively with physicians, nursing staff, other patient caregivers and coding staff to improve the quality and completeness of documentation ...
The Clinical Documentation Registered Nurse collaborates extensively with physicians, nursing staff, other patient caregivers and coding staff to improve the quality and completeness of documentation ...
Clinical Documentation Specialist
Salisbury, MD · On-site
$80K - $125K/yr
Bachelor's degree in nursing (BSN) is required, or relevant clinical CDI experience may be ... Evening and weekend work as needed. Clinical Documentation Specialist Benefits Benefits: We provide ...
Clinical Documentation Specialist
Salisbury, MD · On-site
$80K - $125K/yr
Bachelor's degree in nursing (BSN) is required, or relevant clinical CDI experience may be ... Evening and weekend work as needed. Clinical Documentation Specialist Benefits Benefits: We provide ...
... clinical documentation; nursing health information, case management, quality management or similar related fields - Required Proficient in computer skills with many softwares including, but not ...
... clinical documentation; nursing health information, case management, quality management or similar related fields - Required Proficient in computer skills with many softwares including, but not ...
Clinical Documentation Specialist
Salisbury, MD · Hybrid
$34.25 - $46.25/hr
Bachelor's degree in nursing (BSN) is required, or relevant clinical CDI experience may be ... Evening and weekend work as needed. Clinical Documentation Specialist Benefits Benefits: We provide ...
Clinical Documentation Specialist
Salisbury, MD · Hybrid
$34.25 - $46.25/hr
Bachelor's degree in nursing (BSN) is required, or relevant clinical CDI experience may be ... Evening and weekend work as needed. Clinical Documentation Specialist Benefits Benefits: We provide ...
Clinical Documentation Integrity Manager
Chattanooga, TN · On-site
$31.75 - $42.50/hr
He/she works with the medical staff and clinical documentation nurse specialists to offer documentation education to secure all legitimate DRG opportunities. He/she works within the scope of care ...
Clinical Documentation Integrity Manager
Chattanooga, TN · On-site
$31.75 - $42.50/hr
He/she works with the medical staff and clinical documentation nurse specialists to offer documentation education to secure all legitimate DRG opportunities. He/she works within the scope of care ...
Clinical Documentation Specialist
$35.50 - $47.75/hr
The Clinical Documentation Specialist educates and serves as a clinical liaison to nursing staff ... weekends. Mental Demands: Must demonstrate keen mental faculties/assessment and decision making ...
Clinical Documentation Specialist
$35.50 - $47.75/hr
The Clinical Documentation Specialist educates and serves as a clinical liaison to nursing staff ... weekends. Mental Demands: Must demonstrate keen mental faculties/assessment and decision making ...
RN Clinical Documentation Specialist
Moreno Valley, CA · On-site
$36.25 - $49/hr
The Registered Nurse CDI Specialist is an integral part of the healthcare team and is responsible for ensuring that the patient record contains clinical documentation that is clear, concise, and ...
RN Clinical Documentation Specialist
Moreno Valley, CA · On-site
$36.25 - $49/hr
The Registered Nurse CDI Specialist is an integral part of the healthcare team and is responsible for ensuring that the patient record contains clinical documentation that is clear, concise, and ...
Clinical Documentation Registered Nurse II - Clinical Documentation Integrity
Alexandria, LA · On-site
$32 - $43/hr
The clinical documentation RN will provide support and expertise through comprehensive assessment and review of inpatient medical records. The clinical documentation RN will facilitate accurate DRG ...
Clinical Documentation Registered Nurse II - Clinical Documentation Integrity
Alexandria, LA · On-site
$32 - $43/hr
The clinical documentation RN will provide support and expertise through comprehensive assessment and review of inpatient medical records. The clinical documentation RN will facilitate accurate DRG ...
Clinical Documentation Specialist
$34 - $45.75/hr
The CDI Specialist assesses clinical documentation through extensive review of the medical record, interaction with physicians, nursing staff, other patient care givers, and Health Information ...
Clinical Documentation Specialist
$34 - $45.75/hr
The CDI Specialist assesses clinical documentation through extensive review of the medical record, interaction with physicians, nursing staff, other patient care givers, and Health Information ...
Clinical Documentation Registered Nurse II - Clinical Documentation Integrity
Alexandria, LA · On-site
The clinical documentation RN will provide support and expertise through comprehensive assessment and review of inpatient medical records. The clinical documentation RN will facilitate accurate DRG ...
Clinical Documentation Registered Nurse II - Clinical Documentation Integrity
Alexandria, LA · On-site
The clinical documentation RN will provide support and expertise through comprehensive assessment and review of inpatient medical records. The clinical documentation RN will facilitate accurate DRG ...
Clinical Documentation Specialist
$37.25 - $50/hr
The Clinical Documentation component is used by physicians, nurses and ancillary department staff to document procedures, patient status, and other clinical components. We are seeking 2resources to ...
Clinical Documentation Specialist
$37.25 - $50/hr
The Clinical Documentation component is used by physicians, nurses and ancillary department staff to document procedures, patient status, and other clinical components. We are seeking 2resources to ...
Clinical Documentation Specialist
Delray Beach, FL · On-site
$32.75 - $44/hr
Under limited direction works collaboratively with medical, nursing and ancillary staff, and case ... Oversees clinical documentation patterns and trends to identify areas of improvement in ...
Clinical Documentation Specialist
Delray Beach, FL · On-site
$32.75 - $44/hr
Under limited direction works collaboratively with medical, nursing and ancillary staff, and case ... Oversees clinical documentation patterns and trends to identify areas of improvement in ...
Clinical Documentation Specialist
San Angelo, TX · On-site
$34 - $45.75/hr
The CDI Specialist assesses clinical documentation through extensive review of the medical record, interaction with physicians, nursing staff, other patient care givers, and Health Information ...
Clinical Documentation Specialist
San Angelo, TX · On-site
$34 - $45.75/hr
The CDI Specialist assesses clinical documentation through extensive review of the medical record, interaction with physicians, nursing staff, other patient care givers, and Health Information ...
Clinical Documentation Coordinator
Las Vegas, NV · On-site
$39.17 - $60.71/hr
Clinical Documentation Coordinator *THIS POSITION IS NOT REMOTE* Location: Las Vegas, NV Employment ... The CDI Specialist will collaborate with physicians, nursing staff, coding professionals, and ...
Quick apply
Clinical Documentation Coordinator
Las Vegas, NV · On-site
$39.17 - $60.71/hr
Clinical Documentation Coordinator *THIS POSITION IS NOT REMOTE* Location: Las Vegas, NV Employment ... The CDI Specialist will collaborate with physicians, nursing staff, coding professionals, and ...
Weekend Clinical Documentation Nurse information
See salary details
$31K - $42.3K
13% of jobs
$42.3K - $53.5K
1% of jobs
$53.5K - $64.8K
4% of jobs
$70.3K is the 25th percentile. Wages below this are outliers.
$64.8K - $76.1K
15% of jobs
The median wage is $85.9K / yr.
$76.1K - $87.4K
20% of jobs
$87.4K - $98.6K
20% of jobs
$101.2K is the 75th percentile. Wages above this are outliers.
$98.6K - $109.9K
11% of jobs
$109.9K - $121.2K
7% of jobs
$121.2K - $132.5K
4% of jobs
$132.5K - $143.7K
3% of jobs
$143.7K - $155K
2% of jobs
$31K
$89.9K
$155K
How much do weekend clinical documentation nurse jobs pay per year?
What is the difference between Weekend Clinical Documentation Nurse vs Weekend Medical Records Coordinator?
| Aspect | Weekend Clinical Documentation Nurse | Weekend Medical Records Coordinator |
|---|---|---|
| Credentials | RN license, clinical documentation training | Medical records certification, administrative experience |
| Work Environment | Hospitals, clinics, healthcare settings | Medical records departments, healthcare facilities |
| Job Focus | Clinical documentation accuracy, patient care records | Medical record management, data organization |
The Weekend Clinical Documentation Nurse primarily focuses on ensuring accurate clinical documentation and patient records, working directly with healthcare providers. In contrast, the Weekend Medical Records Coordinator manages medical records, ensuring proper filing and compliance. Both roles require healthcare knowledge but differ in clinical versus administrative focus, making them distinct yet related positions in healthcare documentation.
Full-time
Re-posted 10 days ago
Job description
Job Description: Clinical Documentation Auditor ? CHHA
Department: Compliance / Clinical Review / Care Standards
Reports To: VP of Clinical Operations
Position Summary
The Clinical Documentation Auditor is responsible for reviewing clinical documentation across patient charts to ensure accuracy, completeness, and compliance with regulatory, payer, and agency standards. The auditor provides feedback to clinicians and leadership, helps identify documentation trends, and supports ongoing quality improvement initiatives within the Certified Home Health Agency (CHHA).
Key Responsibilities
- Perform routine and focused audits of patient charts for:
- Timely completion of Start of Care (SOC), Recertification, and Discharge OASIS
- Visit documentation (nursing, therapy, aide)
- Plan of Care compliance
- MD order management and signed/verbal order tracking
- Medication reconciliation
- Visit frequency adherence
- Missed visit documentation and follow-up
- Care coordination and patient goals documentation
- Assessment of comorbid conditions, safety, and environment - Verify that documentation supports medical necessity, homebound status, and meets payer requirements (including Medicare).
- Identify gaps, trends, or inconsistencies in documentation and escalate as appropriate.
- Collaborate with clinical leadership to provide feedback and education to field staff.
- Assist in preparing for surveys and audits by regulatory or accrediting bodies.
- Participate in development and updating of internal audit tools and workflows.
- Maintain up-to-date knowledge of CHHA regulations, Medicare Conditions of Participation, and payer documentation requirements.