RN Clinical Documentation Specialist Lead – Quality Reviewer

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

📋 Description

• Act as a bridge between customers of the CDI Department and CDI Leadership.

• Serve as a clinical and technical advisor for the CDS staff.

• Address inquiries and offer guidance on non-administrative matters.

• Monitor, report, prioritize, and redirect daily departmental workflows under the guidance of leadership.

• Generate operational reports and send key metrics to leadership at designated intervals.

• Coordinate special record reviews, projects, and requests from customers.

• Conduct medical record assessments throughout patient stays to ensure documentation accuracy and completeness.

• Engage with both internal and external customers.

• Provide consultation and educational support to departmental personnel.

• Support and take part in performance improvement initiatives for physicians and hospitals.

• Assist the department manager with various departmental initiatives.

• Undertake other related responsibilities as needed.

⛳️ Requirements

• Completion of a formal Nursing training program.

• Current Registered Nurse License in the State of Louisiana.

• A minimum of 3 years of clinical experience in an acute care environment, including experience in Clinical Documentation Improvement.

• Advanced clinical knowledge and a comprehensive understanding of complex disease processes, along with extensive inpatient clinical experience.

• Proficient computer skills and dexterity for data entry and retrieval of patient information.

• Competence with Windows-based applications and keyboard usage.

• Strong verbal and written communication abilities.

• Broad clinical knowledge and comprehension of the pathology and physiology associated with disease processes.

• Excellent organizational skills.

• Ability to work independently.

• Bachelor’s degree in Nursing is preferred.

• Certification as a Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) is preferred.

🏝️ Benefits

• Equal Opportunity Employer.

• Reasonable accommodations available for individuals with disabilities.

• Option for remote work in eligible locations.