Clinical Documentation Specialist

A company is looking for a Clinical Documentation Specialist to ensure the accuracy and integrity of clinical documentation.

Key Responsibilities

Review clinical records for accuracy related to coding and documentation standards

Educate and communicate with healthcare providers on documentation requirements and best practices

Conduct concurrent reviews of patient health records to ensure completeness and clarity of documentation

Required Qualifications

Associate / Diploma Degree in Nursing or Health Information Technology, or an advanced degree in nursing or Physician Assistant

3 or more years of experience as an inpatient coder or clinical documentation specialist in lieu of a degree

Preferred certifications include Registered Nurse License, RHIA, RHIT, CCS, CCDS, or CDIP

Experience in Critical Care, Medical or Surgical Inpatient Care Nursing is preferred

Proficiency in using standard desktop and Windows-based computer systems