Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Specialist - Fully Remote.

Key Responsibilities

• Facilitates the quality and integrity of clinical documentation through extensive record review and interaction with healthcare providers
• Educates and communicates with physicians and healthcare team members regarding clinical documentation standards and requirements
• Conducts concurrent reviews of patient health records to ensure clarity, completeness, and compliance in documentation

Required Qualifications

• Associate/Diploma Degree in Nursing, Health Information Technology, or an advanced degree in a medical field
• Current Registered Nurse License, RHIA, RHIT, CCS, or licensure as a PA/NP/APN
• Preferred: Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP)
• Preferred: Two years of experience in Critical Care, Medical or Surgical Inpatient Care Nursing, or as an inpatient coder