Remote Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Specialist who will ensure accurate and complete medical record documentation.

Key Responsibilities

• Review medical records for accuracy and completeness
• Collaborate with physicians and healthcare professionals for concurrent medical record review
• Adhere to MS-DRG classification and compliance regulations set by CMS

Required Qualifications

• IMG with a medical degree or RN license
• Minimum 2-3 years of Clinical Documentation Specialist experience
• Experience in OBGYN, Pediatrics, or Inpatient Psychiatry preferred
• CCDS or CCDIP certification required
• Experience with quality-based reviews and risk adjustment tools preferred