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 compliance audits, and conduct staff training while working remotely.

Key responsibilities

• Review and promote the accuracy and completeness of clinical documentation for a moderate caseload of medical records
• Integrate processes to improve clinical documentation and support clinical documentation improvement programs
• Conduct staff training and education on clinical documentation standards and coding 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