Oregon Licensed Clinical Documentation Specialist

Job Summary

To support accurate clinical documentation, the full-time Oregon Licensed Clinical Documentation Specialist will conduct medical record reviews, collaborate with healthcare providers, and ensure compliance with documentation standards while working remotely.

Key responsibilities

• Collaborates with medical staff to identify and clarify diagnoses and procedures in patient records
• Conducts concurrent and retrospective reviews of medical records for compliance with Medicare guidelines
• Provides ongoing education and resources to healthcare providers regarding documentation practices

Required qualifications

• Current Oregon RN License
• CCDS (Certified Clinical Documentation Specialist) or CDIP (Certified Documentation Improvement Practitioner) certification
• A minimum of two years of recent Clinical Documentation Integrity Specialist experience
• Knowledge of Medicare's rules, regulations, and guidelines
• Proficient use of EPIC and 3M 360 Encompass software preferred