Massachusetts Licensed Clinical Documentation Specialist

Job Summary

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

Key Responsibilities

• Collaborates with physicians and staff to ensure accurate medical record documentation
• Reviews inpatient medical records for payer populations and identifies documentation gaps
• Communicates with physicians to validate observations and suggest documentation improvements

Required Qualifications, Training, and Education

• 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 use specialized computer systems for data analysis is required
• Bachelor's degree is preferred