Clinical Documentation Specialist

Job Summary

To support healthcare documentation needs, the full-time Clinical Documentation Specialist will review clinical documentation for compliance and accuracy, collaborate with providers and field sales representatives, and maintain quality standards in a remote work environment.

Key responsibilities

• Review clinical documentation for completeness and payer compliance, identifying gaps that may impact reimbursement
• Partner with healthcare providers and clinical staff to obtain necessary documentation and communicate required corrections
• Collaborate with internal departments to enhance documentation processes and support operational initiatives

Required qualifications

• High school diploma or equivalent required; Associate degree in Health Information Management or related field preferred
• Four or more years of experience in healthcare documentation, provider services, or medical office operations
• Strong understanding of medical terminology and payer documentation requirements
• Experience working directly with providers and clinical staff
• Knowledge of EMR platforms and documentation systems