California Licensed Documentation Specialist

Job Summary

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

Key responsibilities:

• Review and rectify clinical documentation to promote accuracy and completeness
• Integrate processes to enhance clinical documentation improvement initiatives
• Conduct staff training on clinical documentation standards and compliance 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 a related field, with additional relevant experience
• California Physician Assistant License, Doctor of Medicine License, Nurse Practitioner Certificate, or Registered Nurse License required at hire