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 teams while working remotely.

Key responsibilities

• Communicates with physicians and healthcare team members to ensure comprehensive medical record documentation
• Utilizes clinical documentation systems to identify opportunities for improving documentation and hospital outcomes
• Provides education on compliance, coding, and clinical documentation issues to internal stakeholders

Required qualifications

• Bachelor's degree in Nursing (BSN or MSN) required
• Current State of Texas nursing license or temporary/compact license
• Minimum of 5 years of recent RN bedside experience in an acute hospital setting, with critical care or ICU experience preferred
• Proficiency in computer usage, including database and spreadsheet analysis
• Knowledge of federal, state, and private payer regulations preferred