State Licensed Clinical Documentation Specialist

Job Summary

Working remotely on a full-time basis, the State Licensed Clinical Documentation Specialist will conduct clinical documentation reviews, assign ICD-10-CM/PCS codes, and collaborate with physician advisors on appeals and documentation improvement initiatives.

Key responsibilities

• Conduct initial, concurrent, and retrospective reviews of clinical documentation to track and document findings
• Assign and update ICD-10-CM/PCS codes and manage MS-DRG and APR-DRG assignments in a timely manner
• Collaborate with interdisciplinary teams and participate in staff training to enhance documentation quality and accuracy

Required qualifications

• Associate's Degree in Nursing - Required
• 3 years of clinical experience in an ICU/Critical Care acute care setting - Required
• Registered Nurse (RN) state licensure - Required upon hire
• Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) - Required within 2 years
• Bachelor's Degree in Nursing - Preferred