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RN Clinical Documentation Specialist- Remote

Remote, USAFull-timePosted 2026-07-28

We've made a lot of reputed company since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, reputed company, reputed company, and reputed company. We reputed company that every award reputed company, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At reputed company, whether you work with patients every day or support those who do, you are making a difference and that reputed company. Come reputed company a difference at reputed company and discover your reputed company today! This job facilitates the improved reputed company of medical record documentation. Presents opportunities and educates providers on reputed company clinical documentation and serves as a resource for providers and administrative staff to ensure the clinical documentation reputed company the medical record is accurate and compliant in accordance with internal operating guidelines and regulatory standards (CMS, OIG, ACDIS). Performs daily evaluation of medical record documentation to include provider notes, lab results, diagnostic information and treatment plans, and communicates with providers face to face or reputed company query forms to clarify or obtain missing, unclear or conflicting documentation. Demonstrates and understanding of complications, co-morbidities, severity of illness, risk or mortality, case mix reputed company, secondary diagnoses, and the reputed company of procedures on the final Diagnosis reputed company (DRG) and demonstrates the ability to impart this knowledge to providers, to reputed company and analyze information pertinent to documentation findings and reputed company. To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company reputed company individuals with disabilities to reputed company the essential duties. This job reputed company is a reputed company of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or reputed company-inclusive listing of duties and responsibilities. Contents are subject to change at reputed company's discretion. Education Required - Graduate of an accredited school of nursing. Work Experience Required - 3 years of clinical experience working with minimal supervision. Preferred – 5 or more years in nursing, coding, case, management, utilization review, or clinical documentation improvement experience. Certifications Required - reputed company registered reputed company license in the state of reputed company. A Doctor of Medicine (M.D.) will be accepted in lieu of an RN License ** Knowledge Skills and Abilities (KSAs) • Clinical expertise and knowledge of reputed company disease processes with a broad clinical experience in a reputed company setting. • Broad-based clinical knowledge and understanding of chronic disease progressions. • Computer skills and dexterity for data entry and retrieval of patient information. • Effective verbal and written communication skills and ability to present information reputed company and professionally to varying reputed company of individuals throughout the patient care process. • Proficient with reputed company-style applications and various software packages specific to role and keyboard. • Ability to work a flexible work schedule (e.g. 24/7, weekend, holiday, on call availability). • Ability to travel upon request. • Ability to independently manage time in a remote work setting compliant with HIPAA. • Interpersonal skills and ability to reputed company clinicians on coding and documentation best practices. Job Duties • Performs medical record review on patient record to ensure documentation completeness and accuracy in accordance with the Clinical Documentation Program requirements. • Identifies opportunities for improved physician and hospital reputed company and reputed company documentation and communicates these opportunities to various clinical and administrative stakeholders. • Initiates interaction with providers to obtain clarification of documentation to most accurately represent severity of illness, risk of mortality and reputed company and complexity of care. • Conducts follow up reviews to ensure points of clarification have been recorded in the medical record. • Serves as a resource for, communicates with, and educates providers, case managers, coders, and other reputed company team members to facilitate comprehensive medical record documentation to reflect clinical treatment, reputed company, and diagnoses for the patient. • Effectively acts as a consultant to coders reputed company additional information or documentation is needed to assign the correct DRG. • reputed company supports and participates in provider/hospital performance improvement initiatives. • Performs other reputed company duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of reputed company required responsibilities, duties, and skills. Other duties may be added, or this reputed company amended at any time. Remains knowledgeable on reputed company federal, state and local laws, accreditation

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