Maryland Licensed Clinical Documentation Specialist

Job Summary

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

Key Responsibilities

• Examine medical records for accuracy, completeness, and reflection of the patient's clinical status
• Detect inconsistencies in documentation and request provider clarifications as necessary
• Provide guidance and education on documentation best practices to clinical staff

Required Qualifications

• BSN or equivalent; RN (Registered Nurse) required
• Minimum of 5 years inpatient clinical experience, with 2-5 years in clinical documentation improvement
• Experience with Solventum/3M 360 preferred
• Current Maryland license and relevant certification (e.g., CDIP or CCDS) required
• Knowledge of medical terminology, anatomy, physiology, and disease processes is essential