RN Clinical Documentation Specialist

To enhance clinical documentation quality, the full-time RN Clinical Documentation Specialist will work remotely, collaborating with a multi-disciplinary team to ensure comprehensive documentation that accurately reflects clinical treatment, diagnosis, and severity of illness. Key responsibilities Facilitates complete documentation by educating physicians and health team members on complications, co-morbidities, and MS-DRG assignments Conducts concurrent and retrospective reviews of patient documentation to ensure accuracy and compliance with standards Maintains communication with physicians and HIM coders to clarify documentation needs and improve documentation processes Required qualifications Associates RN, RHIA/RHIT, or Bachelor's Degree with experience/certification in Coding/CDI - Required Current RN License - Required CCDS certification required after 2 years of experience 3-5 years of experience in clinical documentation, coding, or utilization review - Preferred Supervisory, education, or leadership experience - Preferred