Clinical Documentation Specialist

Working remotely on a full-time basis, the State Licensed Clinical Documentation Specialist will conduct clinical documentation reviews, assign ICD-10-CM/PCS codes, and collaborate with physician advisors on appeals and documentation improvement initiatives. Key responsibilities Conduct initial, concurrent, and retrospective reviews of clinical documentation to track and document findings Assign and update ICD-10-CM/PCS codes and manage MS-DRG and APR-DRG assignments in a timely manner Collaborate with interdisciplinary teams and participate in staff training to enhance documentation quality and accuracy Required qualifications Associate's Degree in Nursing - Required 3 years of clinical experience in an ICU/Critical Care acute care setting - Required Registered Nurse (RN) state licensure - Required upon hire Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) - Required within 2 years Bachelor's Degree in Nursing - Preferred