Clinical Documentation Specialist

Job Summary

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

Key Responsibilities

• Examine medical records for accuracy and completeness
• Detect and address inconsistencies in documentation impacting coding and patient care
• Provide guidance on documentation best practices to clinical staff

Required Qualifications and Education

• Doctor of Medicine (MD), Doctor of Osteopathy (DO), or equivalent clinical degree
• Minimum of 5 years inpatient clinical experience
• 2+ years of clinical documentation or coding experience
• Experience with ICD-10-CM/PCS and related coding systems is preferred
• CCDS, CDIP, or equivalent certification required or to be obtained within 90 days