Pennsylvania Licensed Clinical Documentation Specialist

Job Summary

To enhance clinical documentation integrity, the part-time Pennsylvania Licensed Clinical Documentation Specialist will improve the quality and accuracy of patient records while working remotely, focusing on compliance with DRG reimbursement processes and ICD-10 CM coding guidelines.

Key responsibilities

• Educate and communicate with medical staff and coding teams to ensure accurate clinical documentation
• Analyze and improve metrics related to clinical documentation quality and compliance
• Support the organization in achieving optimal reimbursement through thorough documentation practices

Required qualifications

• Current Pennsylvania RN license
• Graduate of a Registered Nurse Program; Bachelor's Degree in Nursing preferred
• Minimum of three years of medical/surgical/acute care nursing experience or two years of inpatient coding experience
• Knowledge of DRG reimbursement processes and ICD-10 CM coding guidelines
• ACDIS credentialing or certification as a Coding Specialist, RHIT, or RHIA preferred