Clinical Documentation Specialist
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Job Description
Job Description
Job Title: Clinical Documentation Specialist (RN/LPN) – Full Time
Location: On-site – Staten Island, NY | Valley Stream, NY | Margate, FL
Schedule: Monday to Friday, 9:00 AM – 5:00 PM
Department: Clinical
Reports To: VP of Clinical Operations
Company: Revival Home Health Care
Position Summary:
Revival Home Health Care, a certified and respected home health agency, is seeking a dedicated Clinical Documentation Specialist (RN or LPN) to join our Clinical team. This is a full-time, on-site role responsible for auditing and reviewing patient charts to ensure compliance with all New York State Department of Health (DOH) regulations and standards, as well as internal clinical documentation policies and procedures.
Key Responsibilities:
Conduct detailed audits of clinical documentation for accuracy, completeness, and regulatory compliance
Review and validate OASIS assessments, visit notes, care plans, and physician orders
Ensure appropriate and accurate ICD-10 coding aligned with current home health guidelines
Identify documentation trends and collaborate with clinical staff to provide training and feedback
Support internal quality assurance and performance improvement initiatives
Generate audit reports and present findings to leadership for follow-up actions
Participate in team meetings to support clinical quality improvement efforts
Maintain up-to-date knowledge of DOH, CMS, and other relevant regulatory updates
Qualifications:
Active RN or LPN license in New York State or Florida
Minimum of 1 year of home health care experience
Strong knowledge of clinical documentation practices and standards
OASIS and ICD-10 coding experience strongly preferred
Exceptional attention to detail and analytical skills
Strong communication and interpersonal abilities
Proficiency in EMR systems and Microsoft Office Suite
Why Join Revival Home Health Care?
Join a mission-focused team dedicated to excellence in patient care
Work in a supportive and collaborative clinical environment
Gain professional development opportunities
Enjoy a competitive salary and full benefits package
- ...Job Description Job Description Job Title: Clinical Documentation Specialist (RN/LPN) – Full Time Location: On-site – Staten Island, NY | Valley Stream, NY | Margate, FL Schedule: Monday to Friday, 9:00 AM – 5:00 PM Department: Clinical Reports To: VP of...SuggestedFull timeWork at officeMonday to Friday
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