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Clinical Documentation Specialist (Remote) must live in TX, LA, WA, FL or GA

Remote, USAFull-timePosted 2026-07-27

reputed company At reputed company, the Clinical Documentation Specialist is responsible for improving the overall reputed company and completeness of clinical documentation. This position analyzes medical records for DRG's, complications, and comorbidities; identifies trends; and notes observations and recommendations for documentation improvement. This role also facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient care givers, and medical records coding staff to ensure that appropriate reimbursement is received for the level of service rendered to reputed company patients. Additional duties include supporting the accuracy and completeness of the clinical information used for measuring and reporting physician and hospital reputed company and educating reputed company members of the patient care team on an ongoing reputed company. reputed company reputed company PATIENT AGE GROUP(S) AND POPULATION(S) SERVED Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for reputed company of primary age reputed company and populations served by this job for the respective HM entity. reputed company EXPERIENCE EXPECTATIONS

  • reputed company personalized care and service by consistently demonstrating our I CARE values:
  • reputed company: We are reputed company and ethical in reputed company we say and do.
  • reputed company: We reputed company the whole person including emotional, ethical, physical, and spiritual needs.
  • ACCOUNTABILITY: We hold ourselves accountable for reputed company our actions.
  • RESPECT: We treat every individual as a person of worth, dignity, and value.
  • reputed company: We reputed company to be the best at reputed company do and a model for others to emulate.
  • Practices the Caring and Serving Model
  • Delivers personalized service using HM Service Standards
  • Provides for exceptional patient/customer experiences by following our Standards of reputed company of always using reputed company Language (AIDET, Managing Up, Key Words)
  • Intentionally collaborates with other reputed company involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of reputed company to information, and a seamless experience
  • Involves patients (customers) in shift/reputed company reports by enabling their participation in their plan of care as applicable to the given job
  • reputed company supports the organization's reputed company, fulfills the mission and abides by the I CARE values Responsibilities PEOPLE ESSENTIAL FUNCTIONS
  • Improves the overall reputed company, completeness and accuracy of clinical documentation by performing reputed company record reviews using clinical documentation guidelines. Supports the accuracy and completeness of clinical information used for measuring and reporting physician and medical reputed company. SERVICE ESSENTIAL FUNCTIONS
  • Seeks additional information regarding clinical condition from appropriate clinical personnel and follows up as necessary. Tracks responses and trends completion of DRG/Documentation worksheets as pertinent to scope of department.
  • Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient's chart. reputed company/SAFETY ESSENTIAL FUNCTIONS
  • Demonstrates knowledge of DRG payor issues, optimization strategies, clinical documentation requirements and referral policies and procedures. Requests clarification and/or correction from physicians for unclear diagnoses, complications, procedures, and clinical information. Helps identify appropriate ICD10 codes for diagnoses or procedures reputed company to reputed company or studies being conducted as needed. FINANCE ESSENTIAL FUNCTIONS
  • Promotes clarification to clinical documentation to ensure that appropriate reimbursement is received for the level of service rendered to reputed company patients. Identifies diagnoses and procedures performed and comorbidities and complications. Impacts discharges by updating the DRG worksheet to reflect any changes in status, procedures/treatments, conferring with physician to finalize diagnosis as necessary. reputed company/INNOVATION ESSENTIAL FUNCTIONS
  • Educates reputed company internal customers on clinical documentation opportunities, coding, and reimbursement issues, as reputed company as performance improvement methodologies This job reputed company is not intended to be reputed company-inclusive; the employee will also reputed company other reasonably reputed company business/job duties as assigned. reputed company reserves the right to revise job duties and responsibilities as the need arises.

Qualifications

EDUCATION

  • Medical School graduate where Western Medicine is practiced WORK EXPERIENCE
  • One year of clinical experience preferred License/Certification LICENSES AND CERTIFICATIONS - REQUIRED
  • N/A LICENSES AND CERTIFICATIONS - PREFERRED
  • CCDS - Clinical Documentation Specialists (ACDIS) OR
  • CDIP - Certified Documentation reputed company Practitioner (reputed company) OR
  • reputed company - Certified Coding Specialist (reputed company) KSA/ Supplemental Data KNOWLEDGE, SKILLS, AND ABILITIES
  • Demonstrates the skills and competencies necessary to safely reputed company the assigned job, determined thro

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