Clinical Documentation Specialist

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $41.6k - $134.7k / year

⏱ Part Time

🟢 Junior

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ProMedica

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1986

🏥 Healthcare

🤝 Non-profit

👥 B2C

💰 $4.4M Grant on 2017-04

Healthcare • Non-profit • B2C

ProMedica is a nonprofit, integrated healthcare system that operates hospitals, physician practices, home health, hospice, and senior care services across multiple states in the U. S. It delivers acute and preventive care, coordinates population health and community health programs, and focuses on improving patient outcomes through integrated clinical services and partnerships. ProMedica also runs community outreach and wellness initiatives to support local health needs.

📋 Description

• Review patient records to improve the quality and completeness of provider-based clinical documentation • Assist providers in ensuring patient records accurately reflect severity of illness and level of services rendered • Collaborate with providers, coders, and other patient care team members on comprehensive patient documentation • Develop and deliver clinical documentation improvement education to providers • Formulate, monitor, and respond to compliant documentation clarification requests

🎯 Requirements

• Associate degree in Health Information Management or related field • 1-2 years of inpatient coding experience • RN with active state licensure OR certification: RHIA/RHIT, CCS, CDIP, CCDS • Preferred: Bachelor of Nursing or bachelor’s degree in Health Information Management or related field • Preferred: Experience with acute care inpatient coding or clinical documentation improvement • Preferred: RN, RHIA/RHIT, CCS, CDIP, CCDS certification • Must reside in an eligible U.S. state; employment is unavailable to residents of California, Colorado, Hawaii, Massachusetts, New Jersey, New York, Oregon, Pennsylvania, Washington, or U.S. territories • Eligibility based on applicant’s primary residence at time of hire

🏖️ Benefits

• 401k retirement plan (no company match for per diem status) • Employee assistance program • Employee discounts • Flexible benefits • Compensation and programs to help take care of family, finances, and personal well-being