California Licensed Clinical Documentation Specialist

Job Summary

To enhance clinical documentation integrity, the full-time California Licensed Clinical Documentation Specialist will interpret clinical documentation, collaborate with healthcare providers, and ensure compliance with coding guidelines while working remotely.

Key responsibilities

• Interpreting clinical documentation to improve accuracy and compliance with coding standards
• Collaborating with physicians and clinical staff to address documentation issues and enhance patient care
• Conducting reviews to ensure adherence to regulatory requirements and best practices in clinical documentation

Required qualifications

• Five or more years of clinical experience as an RN or Physician and three years of experience in Clinical Documentation Improvement (CDI)
• CDI Credential (CCDS or CDIP) and a Bachelor of Science in Nursing or Medical School Graduate
• Strong knowledge of clinical documentation laws, coding guidelines, and utilization review criteria
• Ability to work collaboratively with healthcare professionals and maintain effective working relationships
• Excellent critical thinking skills to communicate effectively on clinical issues