Clinical Documentation Specialist

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Conduct admission evaluations and designate an appropriate Diagnosis Related Group.

• Input the designated DRG and additional details into the Clinical Documentation Improvement database.

• Engage extensively with physicians and mid-level providers to gather comprehensive medical record information.

• Work collaboratively with healthcare professionals to ensure that the severity of illness and level of services are accurately documented in the medical records.

• Address physician inquiries and resolve documentation issues prior to patient discharge.

• Keep precise records of review activities and confirm the validity of CDI reports and outcomes.

⛳️ Requirements

• One or more of the following qualifications: Certified Coding Specialist (CCS) from AHIMA, Certified Professional Coder (CPC) from AAPC, Clinical Documentation Professional from the Association of Clinical Documentation Improvement Specialists, Licensed Compact State Registered Nurse from the Tennessee Board of Nursing, Registered Health Information Administrator (RHIA) from AHIMA, or Registered Health Information Technician (RHIT) from AHIMA.

• CCS or CPC credential must be obtained within 6 months (180 days) of employment or transfer; other listed credentials should be acquired before employment or transfer.

• High School diploma equivalency with 2 years of relevant experience OR an Associate's degree/Bachelor's degree OR 4 years of relevant cumulative job-specific experience.

🏝️ Benefits

• Comprehensive health coverage including medical, dental, vision, prescription coverage, and HSA/FSA options.

• Employer-matched 403(b) plan.

• Resources for planning and hardship assistance.

• Disability and life insurance provided.

• Pro-rated paid time off (PTO) and holidays.

• Tuition assistance (Vocare) paid by Ascension.

• Reimbursement options available.

• Continuous professional development and online learning opportunities.

• Employee Assistance Program for support.

• Counseling and peer support services.

• Spiritual care and stress management resources offered.

• Parental leave available.

• Adoption assistance and family benefits provided.

• Optional legal and pet insurance.

• Transportation savings and additional benefits.