Illinois Licensed Clinical Documentation Specialist

Job Summary

To enhance clinical documentation accuracy, the part-time Illinois Licensed Clinical Documentation Specialist will perform concurrent analytical reviews of clinical and coding data, facilitate physician queries, and educate healthcare team members on documentation guidelines while working remotely.

Key responsibilities

• Completes initial and follow-up reviews of patient records to assign diagnoses and ensure accurate DRG assignment
• Queries physicians for clarification on documentation and identifies issues with diagnostic reporting
• Educates healthcare providers on clinical documentation improvement and collaborates with coding professionals to resolve discrepancies

Required qualifications

• Graduate of an accredited nursing program, PA, NP, or medical school, or an Associate's degree with CCDS certification
• Two years of experience in an acute care setting or relevant experience
• Certified Clinical Documentation Specialist (CCDS) certification or equivalent medical licensure
• Knowledge of clinical documentation guidelines and coding practices
• Ability to conduct independent research on clinical topics and healthcare regulations