Registered Nurse RN Clinical Documentation Specialist - Remote

Overview

The Registered Nurse RN Clinical Documentation Specialist plays a crucial role in improving the quality and completeness of clinical documentation in the medical record, ensuring accurate representation of patient care and supporting billing processes.

In Short

• Facilitate improvement in clinical documentation quality.
• Ensure accurate representation of patient acuity and resource utilization.
• Conduct concurrent record reviews and documentation clarifications.
• Work independently in a fully remote role.
• Engage with clinical teams to enhance documentation accuracy.
• Maintain data integrity in clinical documentation databases.
• Educate clinicians on documentation opportunities.
• Requires a Registered Nurse license and clinical experience.
• Utilize software applications for documentation improvement.
• Full-time position with no weekends or holidays.

Requirements

• Active RN license in the state of residence.
• Bachelor’s degree in nursing preferred.
• 2 years of acute clinical care experience required.
• Strong knowledge of clinical care and documentation.
• Ability to work independently and manage time effectively.
• Critical thinking and problem-solving skills.
• Experience with documentation programs or coding preferred.
• Certifications like CCDS, CDIP, CCS, or CPC are a plus.
• Effective communication and team collaboration skills.
• Moderate to strong tech skills required.

Benefits

• Comprehensive benefits package for eligible positions.
• Opportunity to work with a nationally-recognized healthcare leader.
• Supportive work environment with a focus on professional growth.
• Flexible remote work arrangements.
• Engagement in a mission-driven organization.