Clinical Documentation Specialist

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

📋 Description

• Accountable for enhancing the overall quality and thoroughness of clinical documentation.

• Ensure that the medical record information accurately reflects the patient's severity of illness, clinical requirements, and resource utilization.

• Examine death medical records to confirm that the severity of illness and risk of mortality are documented at the highest level.

• Collaborate with healthcare providers to encapsulate clinical care in a coding format for reimbursement and to guarantee that UAMS maintains the correct case mix.

• Review all types of hospital admissions to ensure that severity is accurately documented, and subsequently educate healthcare providers on admission classifications.

⛳️ Requirements

• Registered Nurse (RN) with an active license and a minimum of 4 years of inpatient clinical experience in Emergency, Critical Care, or Medical/Surgical areas, including experience in Quality, Case Management, Clinical Audit, or Data Abstraction, OR a Coding professional with a CCS certification and 6 years of inpatient coding experience, supported by documented education in anatomy/physiology and pharmacology.

• CCDS certification is required within 6 months of employment.

🏝️ Benefits

• Health: Medical, Dental, and Vision plans available for eligible staff and their families.

• Holiday, Vacation, and Sick Leave.

• Education discounts for staff and dependents (undergraduate programs only).

• Retirement: Up to a 10% matched contribution from UAMS.

• Basic Life Insurance coverage up to $50,000.

• Career Training and Educational Opportunities.

• Merchant Discounts.

• Concierge prescription delivery available on the main campus when utilizing UAMS pharmacy.