California Licensed Clinical Documentation Specialist
Job Summary
To enhance clinical documentation integrity, the full-time California Licensed Clinical Documentation Specialist will perform second-level reviews of medical records, support regulatory compliance through audits, and lead staff training initiatives, all while working remotely.
Key Responsibilities
- Conduct second-level reviews of medical records to ensure accuracy and completeness of clinical documentation
- Lead training and educational programs on clinical documentation improvement and coding standards
- Facilitate regulatory compliance by performing audits and addressing non-compliance cases
Required Qualifications
- Minimum five (5) years of experience in a leadership role related to clinical documentation improvement or integrity
- Bachelor's degree in Nursing, Medicine, Health Administration, Health Information Management, or a related field
- Minimum nine (9) years of experience in nursing, medicine, CDI, inpatient coding, quality review, or case management
- Expertise in medical coding and clinical documentation standards
- Experience with data analysis and root cause analysis in clinical settings
Complete Job Description
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