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, and support regulatory compliance while working remotely.

Key responsibilities

• Review and rectify medical records to ensure accuracy and completeness of clinical documentation
• Integrate processes to improve clinical documentation and support documentation issue resolution
• Conduct staff training on clinical documentation improvement and related quality standards

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 AND minimum four (4) years of relevant experience, or a minimum of seven (7) years of experience in a related field