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Clinical Documentation Specialist (Remote)
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Job Description
- Req#: 100168664
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely from designated states including Texas, Louisiana, Oklahoma, Florida, Georgia, Tennessee, and South Carolina
- Supportive and collaborative work environment that prioritizes employee well-being
- Chance to make a positive impact on clinical documentation and patient care
- Engaging role that involves interaction with physicians and healthcare teams
What to Expect (Job Responsibilities):
- Review inpatient medical records to identify opportunities for improving physician documentation quality
- Collaborate with physicians, case managers, and coders to facilitate comprehensive medical record documentation
- Provide education on compliance, coding, and clinical documentation issues to internal customers
- Analyze documentation findings and contribute to performance measures reporting
- Coach physicians to enhance documentation accuracy reflecting service intensity and patient severity
What is Required (Qualifications):
- Bachelor of Nursing degree required
- Current State of Texas license or temporary/compact license to practice professional nursing
- Minimum of five (5) years of inpatient acute care experience, with ICU experience preferred
- Excellent observation skills, analytical thinking, and problem-solving abilities
- Strong verbal and written communication skills
How to Stand Out (Preferred Qualifications):
- Recent bedside nursing experience in an acute hospital setting
- Knowledge of federal, state, and private payer regulations
- Proficiency in computer usage, including database and spreadsheet analysis
- Ability to adapt to change and demonstrate self-motivation
- Experience in critical care nursing
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