Massachusetts Licensed Clinical Document Specialist

Job Summary

A company is looking for a Clinical Document Specialist (RN) to work remotely.

Key Responsibilities

• Collaborates with healthcare professionals to ensure accurate medical record documentation reflecting patient conditions
• Reviews inpatient medical records for specific populations and identifies gaps in documentation
• Communicates with physicians to validate observations and enhance documentation accuracy

Required Qualifications

• Massachusetts licensure as a registered nurse is required
• Experience in direct patient care, case management, or utilization review is required
• Knowledge of clinical documentation practices and ICD-10-CM diagnosis codes is required
• Ability to effectively use specialized computer systems for data analysis is required
• Bachelor's degree and 1-3 years of CDI experience are preferred