Clinical Documentation Specialist

Essential Duties and Responsibilities:

• Conducts concurrent reviews of clinical documentation in medical records and queries caregivers for accurate information.
• Performs chart reviews to identify co-morbidities and ensures proper documentation for quality and risk mitigation.
• Promotes a safe care environment and maintains high privacy and confidentiality standards.

Required Qualifications:

• Requires a bachelor's degree plus RHIA, RHIT, CCS, CCS-P, RN, LVN, MD, or DO credentials with two years of experience, or a related bachelor's degree with three years of experience.
• Must have completed coursework in medical terminology and anatomy and physiology, with excellent communication and computer skills.
• ICD-10-CM/PCS coding training and CCDS or CDIP certification are highly desirable.

Work and Benefits:

• The position is remote and operates on day shifts within the Clinical Documentation department.
• The company offers a comprehensive benefits package including medical, dental, vision, life insurance, flexible spending accounts, and a 401(k) plan with a match.
• Additional benefits include PTO, sick time, wellness programs, and tuition reimbursement for eligible full-time and part-time employees.