RN-Clinical Documentation Specialist, First Reviewer - Remote

Overview

The RN-Clinical Documentation Specialist, First Reviewer is responsible for performing concurrent analytical reviews of clinical and coding data to improve physician documentation, ensuring accurate reflection of patient conditions and compliance with documentation guidelines.

In Short

• Conducts reviews of patient records for accurate diagnosis assignment.
• Maintains productivity levels in documentation reviews.
• Queries physicians for missing or unclear documentation.
• Educates healthcare providers on documentation improvement.
• Collaborates with coding professionals for accuracy.
• Assists in mortality review processes.
• Demonstrates knowledge of clinical topics and coding guidelines.
• Maintains expertise through continuing education.
• Works in a safe and alert manner.
• Performs other duties as assigned.

Requirements

• 12 months of experience as a Clinical Documentation Specialist.
• Graduate of accredited nursing school or equivalent.
• CCDS certification required.
• 2 years of experience in an acute care setting.
• Proficiency in MS Office, especially Excel.
• Knowledge of patient safety indicators and mortality reviews.
• Ability to educate and collaborate with healthcare teams.
• Strong analytical and communication skills.
• Physical ability to perform job requirements.
• State licensure as required.

Benefits

• Comprehensive benefits package.
• Paid parental leave.
• Flexible payment options through DailyPay.
• Upfront tuition coverage for eligible team members.
• Equal opportunity employer.
• Continuous professional development opportunities.
• Supportive work environment.
• Access to employee assistance programs.
• Health and wellness programs.
• Retirement savings plans.