Clinical Documentation Specialist - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)
About the position Responsibilities • Improve the quality, completeness, and accuracy of clinical documentation through open record reviews. • Support the accuracy of clinical information for measuring and reporting outcomes. • Seek additional information regarding clinical conditions from clinical personnel and track responses. • Conduct follow-up reviews of clinical documentation to ensure clarifications are recorded. • Demonstrate knowledge of DRG payor issues and clinical documentation requirements. • Request clarifications from physicians for unclear diagnoses and procedures. • Identify appropriate ICD10 codes for diagnoses or procedures as needed. • Educate internal customers on clinical documentation opportunities and reimbursement issues. Requirements • Associate's or bachelor's degree in nursing or a medical school graduate where Western Medicine is practiced. • For RN: At least five years of recent clinical experience in an acute care hospital setting; coding and utilization review experience preferred. • For Medical School graduate: One year of clinical experience preferred. • Registered Nurse licensure in Texas or Compact State within 60 days, or Temporary State Licensure within 60 days. • CCDS, CDIP, or CCS certification for Medical School graduates. Nice-to-haves • Experience in coding and utilization review. • Strong analytical thinking and problem-solving skills. Benefits • Comprehensive health insurance coverage. • Retirement savings plan options. • Paid time off and holidays. • Professional development opportunities. Apply tot his job