State Licensed Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Specialist, REMOTE.

Key Responsibilities

• Ensure the quality, completeness, and accuracy of clinical documentation through extensive record review and education
• Communicate with and educate healthcare providers regarding clinical documentation standards and monitor engagement
• Conduct concurrent reviews of patient health records and accurately code relevant diagnoses while resolving discrepancies

Required Qualifications

• Associate/Diploma Degree in Nursing or Health Information Technology, or an advanced degree in a medical field
• Current Registered Nurse License, RHIA, RHIT, CCS, or licensure as a PA/NP/APN required
• Two years of experience in Critical Care, Medical or Surgical Inpatient Care Nursing, or inpatient coding preferred
• Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred
• Proficient with computer systems and software for data entry and documentation purposes