Lead Clinical Documentation Specialist

To enhance clinical documentation practices, the full-time Lead Clinical Documentation Specialist will manage daily operations, provide real-time clinical reviews, and conduct educational programs, all while working remotely during day shifts. Key responsibilities Oversee daily operations for assigned sites, including staffing, workload balancing, and training on clinical documentation Perform real-time clinical reviews for complex cases and ensure appropriate severity of illness and risk of mortality documentation Analyze department data for quality and accuracy, identifying trends and conducting educational programs on documentation improvement Required qualifications Doctor of Medicine (MD), Doctor of Osteopathy (DO), Foreign Medical Graduate (FMG), Registered Nurse (RN), Doctor of Physical Therapy, or Pharmacist RHIA, RHIT, or related clinical/allied health degree Minimum of 7 years of inpatient clinical experience 2+ years of clinical documentation, coding, case management, or acute-care clinical experience CCDS (Certified Clinical Documentation Specialist), CDIP (Clinical Documentation Improvement Practitioner), or equivalent required and active