Clinical Documentation Specialist - Remote

Overview

The Clinical Documentation Specialist is responsible for reviewing inpatient medical records to improve the quality of physician documentation and ensure accurate coding.

In Short

• Remote position requiring residency in specific states.
• Focus on enhancing clinical documentation quality.
• Requires RN with clinical documentation experience.
• Five years of inpatient acute care experience needed.
• Involves communication with healthcare team members.
• Education and training of staff regarding documentation issues.
• Utilizes hospital systems for documentation improvement.
• Adheres to HIPAA and compliance standards.
• Promotes professional growth and development.
• Contributes to a positive working environment.

Requirements

• Bachelor of Nursing required.
• Current nursing license in Texas or compact license.
• Five years of bedside nursing experience.
• Excellent observation and analytical skills.
• Strong verbal and written communication abilities.
• Proficient in computer usage and documentation systems.
• Knowledge of healthcare regulations preferred.
• Ability to work independently and adapt to changes.
• Positive attitude and strong interpersonal skills.
• Experience in ICU preferred.

Benefits

• Opportunity to advance career in healthcare.
• Supportive work environment focused on employee well-being.
• Engagement in creating healthier communities.
• Professional development opportunities available.
• Collaboration with a dedicated healthcare team.