This role has closed
This listing is no longer accepting applications. Browse the related live remote NP jobs below, or see all open positions.
Registered Nurse (RN) - Clinical Documentation Specialist (Remote)
The Clinical Documentation Specialist is responsible for evaluating physician documentation using clinical expertise to ensure accurate representation of patient severity of illness and coding specificity. This remote role involves providing guidance to medical staff and ensuring clinical information accuracy.
Job Description
Role Overview
The Clinical Documentation Specialist evaluates inpatient documentation in accordance with Clinical Documentation Program requirements, ensuring accuracy and completeness for reporting hospital outcomes.
Key Responsibilities
- Evaluate day-to-day inpatient documentation.
- Ensure accuracy and completeness of clinical information for outcomes reporting.
- Communicate with medical staff to ensure medical records reflect diagnoses and procedures.
Minimum Requirements
- Education: RN, graduate of an accredited nursing program and Bachelor of Science in Nursing required within 5 years of hire.
- Experience: Minimum of three years of experience as a Clinical Documentation Specialist.
- Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia.
Benefits
- Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
- Paid Time Off, Long-term and Short-term Disability, Retirement Savings
- Health Saving Plans, and Flexible Spending Accounts
- Certification and education support
Requirements & Skills
Specialty
Clinical Documentation
Education
Bachelor
Experience
3+ years
Licenses
RN
Skills
Clinical DocumentationInpatient EvaluationMedical Coding AccuracyPhysician CommunicationICU Clinical Experience