Wisconsin Licensed Clinical Documentation Specialist

Job Summary

To enhance clinical documentation quality, the full-time Wisconsin Licensed Clinical Documentation Specialist will communicate with healthcare teams to clarify and obtain necessary medical record documentation, ensuring accurate representation of patient severity and care complexity in a fully remote setting.

Key responsibilities

• Conduct in-depth chart reviews to identify missing or unclear documentation
• Collaborate with healthcare teams to clarify documentation supporting severity of illness and complexity of care
• Complete extensive training modules and work one-on-one with a CDI trainer

Required qualifications

• Minimum of two years' acute care hospital experience
• Experience in critical care, general medical, and/or surgical nursing
• Previous experience with criteria-based chart reviews such as case management or quality improvement
• Knowledge of ICD code assignment and DRG assignment preferred
• Experience in educational presentations is beneficial