Clinical Documentation Specialist - REMOTE
Jobgether
Full-time
Remote
CDI (Clinical Documentation Integrity)
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Clinical Documentation Specialist - REMOTE. In this role, you will play a crucial part in ensuring accurate and comprehensive clinical documentation, which is essential for patient care and regulatory compliance. You will collaborate with healthcare professionals to enhance documentation quality and integrity, making a significant impact on patient outcomes and the overall effectiveness of care delivery. Your expertise will be vital in educating the care team on documentation guidelines and support continuous improvement initiatives.
Accountabilities
- Conduct timely follow-up case reviews on concurrent cases, prioritizing clinical documentation clarifications.
- Participate in department meetings, providing feedback on outstanding issues and educational opportunities.
- Complete educational projects and present findings to the CDI team at least once yearly.
- Assist the CDI Manager with auditing CDS accounts and maintain CCDS credentialing.
- Maintain a high physician response rate to documentation queries and achieve compliance audit score targets.
- Educate team members on documentation regulations and quarterly Medicare updates.
- Collaborate with HIM staff to address discrepancies in DRG assignments.
- Review medical records for compliance, completeness, and accuracy.
- Accurately input data into CDI Software for metric reconciliation.
- Transcribe documentation clarifications for compliance purposes.
Requirements
- Master's degree in Clinical, Healthcare or Business Administration preferred.
- 4+ years of recent clinical documentation experience required.
- 5+ years of acute care nursing experience in relevant settings required.
- Registered Nurse (RN), Certified Registered Nurse Practitioner (CRNP), Adult Acute Care Nurse Practitioner (ACNPC), Physician Assistant (PA), or ECFMG certification required.
- Certified Clinical Documentation Specialist (CCDS) required.
Benefits
- Comprehensive benefits from day one: Medical, Dental, Vision, Life Insurance, and Disability Insurance.
- Paid Time Off from day one.
- 403-B Retirement Plan.
- 4 weeks of 100% paid parental leave.
- Opportunities for career development.
- Resources for whole person well-being.
- Mental health resources and support.
- Pet benefits.
Why Apply Through Jobgether?
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
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We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.