California Licensed Documentation Specialist

Job Summary

Working remotely in a full-time capacity, the California Licensed Documentation Specialist will review medical records to ensure accuracy and completeness of clinical documentation, support compliance through audits, and conduct staff training on documentation improvement initiatives.

Key responsibilities:

• Review a moderate caseload of medical/health records to promote documentation accuracy and completeness
• Integrate processes to enhance clinical documentation improvement and resolve documentation issues
• Conduct staff training and education on clinical documentation standards and requirements

Required qualifications:

• Minimum two (2) years of experience in an inpatient acute care or clinical setting
• Bachelor's degree in Nursing, Medicine, Health Administration, Health Information Management, or related field with relevant experience
• California Physician Assistant License, Doctor of Medicine License, Nurse Practitioner Certificate, or Registered Nurse License required at hire