Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Specialist Audit Coordinator (Remote).

Key Responsibilities

• Review and audit medical records to ensure accuracy in clinical documentation and coding
• Train end users on CDI system software and provide documentation education to healthcare team members
• Assist with the overall CDI program, including data collection and feedback for improvement opportunities

Required Qualifications

• Associate/Diploma Degree in Nursing or Health Information Technology, or an advanced degree in nursing or Physician Assistant
• At least two years of experience as an acute care inpatient clinical documentation specialist
• Preferred certifications include Registered Nurse License, RHIA, RHIT, CCS, CCDS, or CDIP
• Experience in Critical Care, Medical or Surgical Inpatient Care Nursing is preferred
• Ability to work independently and collaboratively in a shared leadership environment