Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Specialist Remote.

Key Responsibilities

• Ensure the integrity of clinical documentation through review, education, and consultation
• Conduct concurrent reviews of patient health records for accuracy and completeness
• Communicate with healthcare team members to enhance clinical documentation practices

Required Qualifications

• Associate/Diploma Degree in Health Information Technology or an advanced degree in nursing or Physician Assistant; or three years' experience as an inpatient coder/documentation specialist
• Preferred certifications include RN, RHIA, RHIT, CCS, CCDS, or CDIP
• Experience in critical care, medical, or surgical inpatient care nursing or as an inpatient coder is preferred
• Demonstrated ability to use standardized desktop and Windows-based computer systems
• Data entry and typing skills at a minimum of 30 words per minute