Remote Clinical Documentation Specialist

Job Summary

To enhance clinical documentation accuracy, the full-time Remote Clinical Documentation Improvement Specialist will review patient medical records, ensure compliance, and collaborate with healthcare providers and coding professionals to support proper reimbursement.

Key responsibilities

• Review inpatient medical records for accuracy and completeness, ensuring documentation reflects the patient's diagnosis and treatment
• Generate queries to clarify any conflicting or ambiguous documentation in medical records
• Collaborate with healthcare teams to improve clinical documentation processes and support appropriate reimbursement

Required qualifications

• 3-5 years of relevant experience in clinical documentation improvement
• High School diploma or GED required; Bachelor's Degree required
• Bachelor's of Science in Nursing preferred
• Certified Clinical Documentation Specialist Certification preferred
• Registered Nurse license preferred