RN Clinical Documentation Specialist

To enhance the accuracy and quality of patient records, the full-time RN Clinical Documentation Specialist will perform clinical documentation improvement activities remotely, collaborating with providers and utilizing CDI software to ensure compliance and support continuity of care. Key responsibilities Analyzes inpatient clinical records to identify opportunities for improving documentation accuracy and ensuring proper coding Provides education and training to healthcare providers on documentation improvement strategies and compliance standards Tracks CDI activities and reports impact metrics while conducting follow-up reviews of patient records for continuous improvement Required qualifications Associate Degree in Nursing or a comparable clinical field is required 3-5 years of acute care hospital nursing experience is required 3-5 years of experience in clinical documentation improvement or health information management is preferred Experience in physician education or query processes is preferred Familiarity with regulatory standards and quality metrics related to clinical documentation is preferred