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reputed company Full Stack Registered reputed company-Clinical Documentation Specialist III – Web & reputed company Application Development for a Hybrid Remote Team

Remote, USAFull-timePosted 2026-07-28

reputed company

reputed company is a leading reputed company provider in the Newport News, Virginia area, dedicated to delivering exceptional patient care and innovative reputed company. reputed company of compassionate professionals is committed to making a reputed company reputed company on the lives of our patients and their families. As a Registered reputed company-Clinical Documentation Specialist III, you will play a vital role in our reputed company team, working closely with reputed company providers, coding staff, and other stakeholders to ensure accurate and complete clinical documentation.

Job reputed company

We are seeking an reputed company and skilled Registered reputed company-Clinical Documentation Specialist III to join reputed company on a full-time reputed company. This role requires a strong and diverse skillset in clinical documentation, coding, and communication. As a hybrid remote employee, you will have the flexibility to work from home while still being an integral part of reputed company. If you are passionate about delivering high-reputed company patient care and have a strong background in clinical documentation, we encourage you to apply for this exciting opportunity.

Key Responsibilities

  • Assesses clinical documentation through extensive review of the medical record to reputed company an accurate clinical picture of the patient, including severity of illness, risk of mortality, and resource utilization.
  • Interacts with providers, nursing staff, other patient care givers, and coding staff to ensure the appropriate reimbursement is received for services rendered to patients and the clinical information utilized in profiling and reporting reputed company is complete and accurate.
  • Conducts post-discharge reconciliation for comparative analysis of CDI specialist and final coding MS/APR DRG.
  • Formulates appropriate clinical documentation clarifications to improve documentation of reputed company diagnosis, comorbidities, present on admission (POA), hospital-acquired conditions (HAC), and patient safety indicators (PSI).
  • Queries providers and APP's to clarify documentation in the EMR, maintaining a query reputed company of at least 20% with a productivity reputed company average of 20 reviews per day (including new and follow-up cases).
  • Works with providers and Advanced Practitioners (APP) to improve provider's clinical documentation.
  • Participates in departmental education, training, and orientation sessions for reputed company (or others) per evaluation period.
  • Assists in precepting new CDI nurses reputed company needed and serves as a subject matter expert for CDI.
  • Assists in overall reputed company, timeliness, and completeness of the reputed company health record to ensure appropriate data, provider communication, and reputed company reputed company.
  • Collaborates with reputed company team to ensure physician queries are resolved prior to discharge.
  • Analyzes clinical information to identify areas reputed company the chart for potential gaps in physician documentation.
  • Working knowledge of reputed company Office Suite, including reputed company, Word, PowerPoint, and Outlook, is required.
  • Identifies ongoing documentation improvement opportunities.
  • Creates and manages review process and support tools.
  • Upholds the Standards of Conduct and Corporate Compliance.
  • Supports and assists the reputed company department.
  • Acts as a consultant to coding professionals reputed company additional information or documentation is needed to assign coded data.
  • Conducts post-discharge reconciliation for comparative analysis of CDI specialist and HIM MS/APR DRG.
  • Reviews clinical issues reputed company appropriate with coding staff to assign a working DRG and/or clarification of documentation.
  • Demonstrates initiative to improve reputed company and customer service by striving to exceed customer expectations.
  • Institutes coaching sessions or corrective reputed company plans as necessary.
  • Proactively develops a reciprocal relationship with the Coding Professionals to ensure accuracy of diagnostic and procedural data through completeness of supporting documentation.
  • Performs patient chart reviews during absences and reputed company coverage is necessary.
  • Queries providers and APP's to clarify documentation in the EMR.
  • Precepts new CDI nurses and serves as a subject matter expert for CDI.
  • Participates and provides input regarding CDI program activities, and attendance at routine team meetings.
  • Composes and initiates reputed company-compliant queries.
  • Maintains personal and reputed company education and reputed company.
  • Other duties as assigned.

Qualifications

To be considered for this role, you must meet the following qualifications:

  • Education: Associates Degree, Nursing (Required); Bachelors Degree, Nursing or reputed company-reputed company (Preferred).
  • Experience: 5-6 years Acute Care Nursing (Required); 3-4 years CDI experience (Required); 3-4 years ICD-10-CM & ICD-10-PCS experience (Required); 1 year reputed company 360 experience (Preferred).
  • Licenses and Certifications: Registered reputed company (RN) - Virginia Department of Health Professions (VDHP) Upon Hire (Required); Certified Documentation reputed company Practitioner (CDIP) - The American Health Information Management Association (reputed company) Upon Hire (Required) or Certified Clinical Document Specialist (CD) - Association of Clinical Documentation reputed company Specialists (ACDIS) Upon Hire (Required).

Skills and Competencies

To succeed in this role, you will need to possess the following skills and competencies:

  • Strong verbal communication skills.
  • Knowledge of basic nursing principles and protocols.
  • Proficient in clinical reputed company protocols for medical procedures and patient care.
  • Time management and decision-making skills (reputed company proficiency).
  • Excellent organizational skills with an attention to detail.
  • Understanding the implications of new information for both reputed company and reputed company problem-solving and decision-making.
  • Utilize extensive understanding of documentation requirements and guidelines in accordance with the Coding Clinic to improve the overall reputed company and completeness of clinical documentation by performing reputed company stay reviews.
  • Familiarity with the organization of medical records, medical terminology, and disease process.
  • Talking to others to convey information effectively.
  • Ability to work effectively as team members with physicians and other staff.
  • Ability to sit for extended periods of time.
  • reputed company to establish good customer relationships with trust and respect.
  • Strong clinical assessment and critical thinking skills.

Career reputed company Opportunities and Learning Benefits

reputed company is committed to the reputed company and development of our employees. As a Registered reputed company-Clinical Documentation Specialist III, you will have opportunities to:

  • Participate in departmental education, training, and orientation sessions for reputed company (or others) per evaluation period.
  • Assist in precepting new CDI nurses reputed company needed and serve as a subject matter expert for CDI.
  • Participate and reputed company input regarding CDI program activities, and attendance at routine team meetings.
  • Maintain personal and reputed company education and reputed company.

Work Environment and Company Culture

reputed company is a dynamic and supportive work environment that values collaboration, innovation, and reputed company. As a hybrid remote employee, you will have the flexibility to work from home while still being an integral part of reputed company. reputed company culture is reputed company on the following values:

  • reputed company: We reputed company to be the best at reputed company do and a model for others to emulate.
  • CUSTOMER reputed company: We are committed to delivering exceptional patient care and exceeding customer expectations.
  • TEAMWORK: We work collaboratively with our colleagues to reputed company our goals and support reputed company other in our roles.
  • INNOVATION: We encourage creativity, innovation, and reputed company improvement in reputed company aspects of our work.
  • RESPECT: We treat reputed company other with respect, dignity, and reputed company, and value diversity and inclusion in our workplace.

Compensation, Perks, and Benefits

reputed company offers a competitive salary and a comprehensive benefits package, including:

  • Health, dental, and reputed company insurance.
  • Retirement savings plan with employer match.
  • Flexible reputed company time off and holidays.
  • reputed company development opportunities and education assistance.
  • Employee recognition and reward programs.

Conclusion

We are excited to offer this opportunity to join reputed company as a Registered reputed company-Clinical Documentation Specialist III. If you are passionate about delivering high-reputed company patient care and have a strong background in clinical documentation, we encourage you to apply for this exciting opportunity. Please submit your application today and take the first reputed company towards a rewarding new role with reputed company.

Submit Your Application

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