Job Description

A leading healthcare organization is currently seeking a fully remote Clinical Documentation Specialist to join their team. This vital role supports accurate reimbursement and high-quality data reporting in inpatient settings.

About the Opportunity:

Schedule: Monday to Friday
Hours: 8am to 5pm or 9am to 6pm (flexible hours available)
Setting: Remote, open to candidates living anywhere in the EST time zone

Responsibilities:

Lead efforts to facilitate improvement in the overall quality and completeness of provider-based clinical documentation in the medical record by working directly with providers
Support providers by ensuring that documentation in the medical record accurately reflects the severity of illness, risk of mortality, complexity of patient care, and hierarchical condition categories of the patient
Identify and act on opportunities for documentation improvement and hold collaborative discussions with providers
Serve as a subject matter expert and assist less experienced team members in understanding and following operational policies
Train and onboard new team members and participate in special projects assigned by the Mid Revenue Cycle leadership
Conduct thorough assessments of clinical documentation through extensive medical record review and utilization of clinical judgment, deployment of artificial intelligence
Collaborate directly with providers to clarify the documentation to accurately and completely reflect the patients' medical conditions
Perform other duties, as needed

Qualifications:

6+ years of Acute Care Clinical Documentation experience
Associate's Degree in Nursing, HIM, or another Healthcare related field
Proven record of combining Clinical knowledge and Coding skills
Knowledge of Healthcare Regulatory environment
Microsoft Office proficiency
Solid analytical and problem-solving skills
Great interpersonal skills
Excellent communication skills (written and verbal)
Strong attention to detail
Highly organized

Desired Skills:

4+ years of experience in Oncology
Any (one) of the following certifications:
(CCDS) Certified Clinical Documentation Specialists from ACDIS
(CDIP) Certified Documentation Integrity Practitioner from AHIMA
(CDEI) Certified Documentation Expert Inpatient from AAPC

Registered Nurse (RN) *in lieu of a certification listed above, an (active)

by Jobble

Job Tags

Work at office, Flexible hours, Monday to Friday,

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