California Licensed Documentation Specialist

Job Summary

To enhance clinical documentation integrity, the full-time California Licensed Documentation Specialist will review medical records, assign medical codes, support regulatory compliance, and conduct staff training, all while working remotely.

Key responsibilities

• Review medical/health records to ensure accuracy and completeness of clinical documentation
• Integrate processes for clinical documentation improvement and support documentation issue resolution
• Conduct training and education for staff 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 additional experience in relevant fields
• California Physician Assistant License, Doctor of Medicine License, Nurse Practitioner Certificate, or Registered Nurse License required at hire