Texas Licensed Clinical Documentation Specialist

Job Summary

To enhance the quality of physician documentation, the full-time Texas Licensed Clinical Documentation Specialist will conduct concurrent reviews of inpatient medical records, facilitating modifications through interaction with healthcare team members, while working remotely.

Key responsibilities

• Communicates with physicians and healthcare team members to ensure comprehensive medical record documentation
• Utilizes the clinical documentation system to identify opportunities for improvement in physician and hospital outcomes
• Provides education and consultation on compliance, coding, and clinical documentation issues to internal customers

Required qualifications

• Current State of Texas RN license or temporary/compact license
• Bachelor of Science in Nursing (BSN) or Master of Science in Nursing (MSN)
• At least 5 years of recent RN bedside experience in an acute hospital setting, with ICU experience preferred
• Knowledge of federal, state, and private payer regulations related to clinical documentation
• Proficiency in computer usage, including database and spreadsheet analysis