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 accurate clinical documentation and coding
• Train end users on CDI system software, standards, and workflows
• Communicate with healthcare team members regarding clinical documentation and provide feedback for improvement

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 RN License, RHIA, RHIT, CCS, CCDS, or CDIP
• Experience in Critical Care, Medical or Surgical Inpatient Care Nursing is preferred
• Ability to operate independently in a collaborative environment