RN - Clinical Documentation Specialist - Remote - RN26-06805

Job Description

Job Description

Job Title: RN – Clinical Documentation Specialist
Location: Remote (Based out of Massachusetts)
Type: Contract
Shift & Schedule: Day Shift | 7:00 AM – 3:30 PM | 32 Hours Per Week | Rotating Weekends | Occasional Holidays

Pay Rate: $57.00 – $61.00/hour

Position Overview:

Navitas Healthcare, LLC is seeking a RN – Clinical Documentation Specialist for an exciting Remote opportunity based out of Massachusetts.

Responsibilities

• Conduct thorough and timely reviews of medical records to ensure accurate clinical documentation.

• Identify opportunities for documentation improvement and initiate appropriate queries.

• Communicate effectively with physicians and clinical staff to clarify documentation.

• Collaborate with Health Information Management (HIM) and nursing teams to resolve discrepancies.

• Ensure accurate data entry and maintenance within the electronic medical record system.

• Participate in CDI initiatives, team meetings, and ongoing education efforts.

• Provide follow-up on documentation queries to ensure timely resolution.

• Support compliance with regulatory requirements and documentation standards.

• Maintain high standards of service excellence when interacting with internal stakeholders.

• Manage multiple priorities in a fast-paced, remote work environment.

Required Qualifications

• Current Registered Nurse (RN) license in Massachusetts.

• Certified Clinical Documentation Specialist (CCDS) or CDI certification required.

• Prior experience working fully remotely.

• Experience with Epic Electronic Medical Records system.

• Minimum recent acute care experience (ICU, CCU, or strong Med/Surg) OR 4 years of recent Case Management experience.

• Strong knowledge of pathophysiology and disease processes.

• Understanding of Medicare Part A & B guidelines and DRG impact.

• Familiarity with regulatory healthcare requirements.

• Strong analytical, critical thinking, and problem-solving skills.

• Excellent written and verbal communication skills.

• Ability to work independently and manage multiple tasks effectively.

Preferred Qualifications

• Bachelor of Science in Nursing (BSN).

• Previous leadership or supervisory experience.

• Experience in Clinical Documentation Improvement programs.

• Strong organizational and time management skills.

• High attention to detail and accuracy.

• Effective interpersonal and negotiation skills.

• Self-motivated and dependable with a proactive approach.

• Ability to collaborate with cross-functional teams in a remote setting.

For more details contact at View email address on ziprecruiter.com or Call / Text at View phone number on ziprecruiter.com .

About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.