Texas Licensed Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Specialist (Remote - Texas Resident).

Key Responsibilities

• Review inpatient admissions to identify and clarify missing or incomplete documentation
• Collaborate with healthcare team members to ensure comprehensive health record documentation
• Utilize clinical documentation systems to conduct reviews and communicate with providers regarding documentation issues

Required Qualifications

• Certified Registered Health Information Administrator (RHIA), Technician (RHIT), or associate degree with Certified Coding Specialist (CCS) certification
• Minimum of 3 years of medical coding experience or 3 years of inpatient clinical experience as a registered nurse or medical school graduate
• Current RN license or RHIA/RHIT/CCS certification (medical school graduates are exempt)
• Must acquire CCDS or CDIP certification within 3 years of hire
• One year of CDI experience is preferred for nurse candidates