Clinical Documentation Improvement Specialist - Remote

Overview

The Clinical Documentation Improvement Specialist is responsible for examining medical records to ensure accurate and complete documentation, supporting proper coding and reimbursement, and enhancing documentation practices within the healthcare organization.

In Short

• Examine medical records for accuracy and completeness.
• Detect inconsistencies or missing information in documentation.
• Verify clinical documentation supports correct coding.
• Communicate with physicians to improve documentation practices.
• Track metrics related to documentation quality.
• Provide guidance on documentation best practices.
• Assist in internal and external audits.
• Maintain current medical and coding knowledge.
• Full-time position with day shift schedule.
• Remote work opportunity.

Requirements

• MD, DO, RN, Pharmacist, or related degree.
• 5 years of inpatient clinical experience.
• 2+ years in clinical documentation or coding.
• Experience with ICD-10-CM/PCS coding.
• Lean Six Sigma Green Belt preferred.
• CCDS or CDIP certification required.
• Ability to interpret clinical documentation and lab results.
• Strong communication skills.
• Commitment to ongoing education.
• Ability to work independently in a remote setting.

Benefits

• Work-life balance with nonrotating shifts.
• Recognition and rewards for expertise.
• Comprehensive medical, dental, and vision coverage.
• Employer-paid disability and life insurance.
• Paid time off and retirement contributions.
• Tuition reimbursement and subsidized childcare.
• Employee Assistance Program support.
• Flexible spending accounts and voluntary benefits.
• Opportunity to make a difference in community health.
• Faith-based organization with a caring mission.