Clinical Documentation Specialist

📋 Description

• Review patient records to improve quality and accuracy of clinical documentation
• Assess docs to reflect severity of illness and services rendered
• Collaborate with providers, coders, and care team
• Identify opportunities and clarify clinical information as appropriate
• Formulate, monitor, and respond to documentation clarification requests
• Develop and deliver CDI education to providers

🎯 Requirements

• Associate degree in Health Information Management or related field
• 1–2 years inpatient coding experience
• Active RN license or relevant certification (RHIA, RHIT, CCS, CDIP, or CCDS)
• Experience with acute-care inpatient coding or CDI preferred
• Bachelor’s degree in Nursing, HIM, or related field preferred
• Strong clinical documentation, coding knowledge, and communication skills

🎁 Benefits

• Remote work: Fully remote in United States, eligible by state
• Flexible per diem schedule: daytime shifts, no guaranteed hours
• Salary range: $41,600–$134,680
• 401(k) retirement plan for eligible per diem employees
• Employee assistance program
• Employee discounts and flexible benefits