PA Licensed Clinical Documentation Specialist

Job Summary

To enhance clinical documentation practices, the full-time salaried PA Licensed Clinical Documentation Specialist will support an organization-wide system by educating clinical teams, auditing patient charts, and ensuring compliance with CMS coding guidelines in a hybrid work environment.

Key responsibilities:

• Directly review patient charts to ensure clarity and accuracy in documentation reflecting severity of illness
• Provide ongoing education and training to clinical care teams on current documentation and coding trends
• Collaborate with the Corporate Manager of Clinical Documentation Improvement to develop efficiencies within the department

Required qualifications:

• RN, NP, or PA licensure is required
• Bachelor's degree is required; Master's degree is preferred
• 3+ years of healthcare experience is required
• Extensive knowledge of Medicare reimbursement systems and coding structures is preferred
• RHIA, RHIT, and CCS certifications are preferred; CCDS or CDIP is also preferred