Document Improvement Specialist, Fulltime

Stamford Health Medical Group; Stamford (CT); On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

Health insurance

Wellness programs

Paid Time Off

403(b) retirement plan

Free on-site parking

Childcare partnership with Children’s/

Childcare partnership

Job summary

Stamford Health is seeking a Full-time Document Improvement Specialist to join the Case Management Team at One Hospital Plaza, Stamford, CT. The role focuses on clinical documentation improvement, IPPS/JCAHO compliance, and DRG optimization, with EPIC EMR experience required.

The position offers daytime hours Mon-Fri with rotating weekends, comprehensive benefits, and opportunities for professional development within a supportive health system.

Qualifications

• Connecticut Licensed Registered Nurse.
• Bachelor’s Degree in a related field is preferred.
• CCS, CCA, CPC-H certification preferred.
• MUST have EPIC EMR system experience.
• A minimum of 5 Years of experience in case management, managed care, coding and/or case mix - documentation improvement experience.
• Ability to compile objective and measurable data and produce written reports.
• Ability to develop and communicate written policies and procedures.
• Prior training experience and the competencies to develop and present education programs to all levels of healthcare professionals.
• High level of competency with MS Office or equivalent; able to perform data and statistical analysis using Excel.
• Prior Hospital / Health Care experience is required.
• Experience in a Health Care System is highly preferred.

Responsibilities

• Facilitate internal process changes to address clinical documentation opportunities for improvement.
• Improve physician documentation compliance under IPPS and JCAHO requirements.
• Perform concurrent review of Medicare in-patients charts and assess documentation impact on DRG.
• Monitor financial risk and status of Medicare patients on a concurrent basis.
• Assist with compliance and abstraction of JCAHO Core Measures.
• Develop in-service programs with physicians, case management staff and coding manager.
• Provide ongoing education to case management staff and interdisciplinary team.

Education

Registered Nurse license (Connecticut)

Bachelor’s degree in a related field (preferred)

CCS, CCA, CPC-H certification (preferred)

MS Office / Excel proficiency

Tools

EPIC EMR

Job description

Stamford, CT, United States

Be the First to Apply

Job Description

Stamford Health is hiring a Fulltime Document Improvement Specialist with our Case Management Team!

Fulltime Monday through Friday 8am to 4pm with rotating weekends, located at our One Hospital Plaza, Stamford CT location.

At Stamford Health, we believe that every patient deserves compassionate, personalized, person‑centered care. This commitment guides how we care for patients, support their care partners, and promote the wellbeing of our staff. In alignment with our Planetree philosophy, the individual in this role will foster a respectful, collaborative environment that honors the needs, values, and preferences of every person we serve and the colleagues we partner with.

As a Certified Great Place to Work organization, Stamford Health understands what it takes to attract talent to improve our workforce and support our mission, to that end we offer:

• Comprehensive, low-cost health insurance plans (including GLP-1 coverage options) available day one
• Wellness programs
• Paid Time Off accruals
• Tax deferred annuity and (403b) pension plan
• Free on-site parking and train station shuttle
• Childcare partnership with Children’s Learning Center

Responsibilities:

This individual will facilitate internal process changes that bring together physicians, care managers and coders to address clinical documentation opportunities for improvement. Improve physician documentation compliance with criteria required under the Inpatient Prospective Payment System (IPPS), in order to eliminate payment errors on Medicare discharges caused by incomplete/inaccurate physician documentation; as well as ensure clear and concise documentation to meet the requirements of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and applicable federal and state law. Perform concurrent review of Medicare in-patients charts to assess the physician documentation and its impact on the Diagnosis Related Group. Monitor the organization's potential financial risk and financial status of Medicare patients on a concurrent basis by reviewing records to ensure the documentation of the most accurate principal diagnosis and procedures and any preexisting conditions in adherence to Medicare definitions. Assist with compliance and abstraction of JCAHO Core Measures.

The program is intended to provide concurrent documentation to accurately reflect the acuity of a patient's condition. This individual will work with senior management to make recommendation on overall strategy, work with case managers and coding staff to processes are in place for documentation capture and education of resident, physicians and extender staff on coding rules and strategies for documentation improvement.

• Develops in-service programs with physicians, case management staff and coding manager regarding coding guidelines and the clinical documentation program.
• Provides ongoing education to case management staff, physicians and the interdisciplinary team regarding clinical documentation improvement program.

Having a through knowledge of DRG’s and coding guidelines, the Documentation Improvement Coordinator will:

• Work with case managers, physicians and coders to establish appropriate documentation for correct coding.
• Track and trend the impact of efforts on overall CMI.
• Identify and prioritize DRG’s, physicians or cases for review concurrently for DRG optimization.

Qualifications:

• Connecticut Licensed Registered Nurse.
• Bachelor’s Degree in a related field is preferred.
• CCS, CCA, CPC-H certification preferred.
• MUST have EPIC EMR system experience
• A minimum of 5 Years of experience in case management, managed care, coding and/or case mix - documentation improvement experience.
• The ability to compile objective and measurable data and produce written reports is required.
• The ability to develop and communicate written policies and procedures is required.
• Prior training experience and the competencies to develop and present education programs to all levels of healthcare professionals.
• High level of competency with computers and computer software such as MS Office or equivalent is required. Specifically, the ability to perform data and statistical analysis using Microsoft Excel or equivalent is required.
• Prior Hospital / Health Care experience is required.
• Experience in a Health Care System is highly preferred.

About Us

About Stamford Health

Stamford Health is a non-profit independent health care system with more than 3,800 employees committed to caring for the community through a wide range of high-quality health and wellness services. Patients and their families receive expert, compassionate care through the system’s 305‑bed Stamford Hospital; Stamford Health Medical Group, with more than 40 offices in lower Fairfield County offering primary and specialty care; a growing number of ambulatory locations across the region; and support through the Stamford Hospital Foundation.

Stamford Health is known for its expert, person-centered care through its many recognitions and partnerships. U.S. News & World Report has recognized Stamford Hospital as a High-Performing Hospital. The Centers for Medicare and Medicaid Services (CMS) rated Stamford Hospital as a five‑star hospital for Overall Quality and The Leapfrog Group awarded Stamford Hospital an “A” for patient safety . The American Nurses Credentialing Center has granted Stamford Hospital Magnet Status, which recognizes superior patient care with the highest level of safety, quality, and patient satisfaction. Stamford Health is Planetree Gold-Certified for Excellence in Person-Centered Care and is a Certified ™ Great Place to Work.

Stamford Health is a major teaching affiliate of the Columbia University Vagelos College of Physicians and Surgeons and has recently expanded its relationship with Columbia to offer treatment and expertise from Columbia University Irving Medical Center’s nationally recognized heart surgeons. Stamford Health and Hospital for Special Surgery (HSS) have created a premier center for specialty orthopedic care right in Stamford, Connecticut. Additionally, in 2020 Stamford Health’s Carl & Dorothy Bennett Cancer Center entered into an expanded collaboration with Dana-Farber Brigham Cancer Center.

Stamford Health offers an extremely competitive salary with generous shift differentials where appropriate.

Our Total Rewards Program is ranked as one of the highest satisfiers based on our employee engagement surveys.

With over 100 transfers and promotions each year for the past 5 years, Stamford Health is a place for you to grow and develop your career. Many departments from Nursing to Information Systems and Rehabilitation have Career Ladder programs that foster career development.

Whether employees choose to live in the greater Stamford, CT area or commute from New York or Fairfield, we offer free convenient parking and free transportation from the Stamford train stations.

Our collaborative with Hospital for Special Surgery, and the Dana Farber Brigham and Women's Cancer Care Collaborative, connect us directly with world class expertise, research, resources and technology to put us at the forefront of patient care.

We have a robust Professional Development and Organization Development program that provides both clinical and non‑clinical staff with the opportunity to develop and grow professionally.

For organizational leaders, we offer a comprehensive New Manager Orientation four times per year. Our program designed specifically for Stamford Health will help prepare today's and tomorrow's leaders for success with an innovative curriculum based on best practices. It will also enhance the skills of our leaders that bring their fresh leadership perspective from other organizations.

Job Info

• Job Identification 5876
• Job Category 010 - Case Manager-RN
• Posting Date 04/17/2026, 04:07 PM
• Job Schedule Full time
• Job Shift Day
• Locations 1 Hospital Plaza, Stamford, CT, 06904, US