Clinical Documentation Specialist - Remote
About The Position
As a Clinical Documentation Specialist, you work to improve the overall quality and completeness of provider-based clinical documentation. This includes reviewing patient records and assisting providers to ensure patient records are accurate for severity of illness and level of services rendered. In this role, you will work with providers, coders and other patient care team members for comprehensive patient documentation. You will also develop and deliver clinical documentation improvement education to providers, and you will formulate, monitor and respond to all compliant documentation clarification requests.
Requirements
- Associate degree in Health Information Management or related field
- 1-2 years of inpatient coding experience
- RN with active state licensure OR Certification: RHIA/RHIT, CCS, CDIP, CCDS
Nice To Haves
- Bachelor of Nursing or bachelor’s degree in Health Information Management or related field
- Experience with acute care inpatient coding or clinical documentation improvement
- RN, RHIA/ RHIT, CCS, CDIP, CCDS certification
Responsibilities
- Review patient records and assist providers to ensure patient records are accurate for severity of illness and level of services rendered.
- Work with providers, coders and other patient care team members for comprehensive patient documentation.
- Develop and deliver clinical documentation improvement education to providers.
- Formulate, monitor and respond to all compliant documentation clarification requests.
Benefits
- 401k retirement plan
- Employee assistance program
- Employee discounts
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What This Job Offers
Career Level
Mid Level
Education Level
Associate degree
