Clinical Documentation Specialist

This is a fully remote position, open to applicants in Arizona, +12 more states.

📋 Description

• Works in partnership with physicians, mid-level providers, ancillary staff, and medical records coders to pinpoint principal and secondary diagnoses, as well as principal procedures.

• Assesses quality indicators.

• Performs initial and ongoing concurrent reviews, along with some retrospective reviews, for system-wide admissions across all payors.

• Recognizes the need to clarify documentation in patient records and initiates queries or communication with providers.

• Supplies necessary information and education to providers consistently.

• Collaborates with the Physician Advisor to deliver educational sessions.

⛳️ Requirements

• Required: As mandated by licensure for RN.

• Preferred: Bachelor of Science in Nursing (BSN).

• Required: Valid Oregon RN License.

• CCDS (Certified Clinical Documentation Specialist) or CDIP (Certified Documentation Improvement Practitioner) certification.

• Required: A minimum of two (2) years of recent experience in Clinical Documentation Improvement Specialist (CDIS).

• Preferred: Proficient in using EPIC and 3M 360 Encompass software programs.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• A 403(b) retirement plan.

• A generous Earned Time Off (ETO) program.