Clinical Documentation Specialist

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $41.6k - $134.7k / year

⏰ Full 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 • Work 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 • Employment limited to residents of eligible U.S. states • Applicants residing in California, Colorado, Hawaii, Massachusetts, New Jersey, New York, Oregon, Pennsylvania, Washington, or U.S. territories are not eligible • 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, or CCDS certification

🏖️ Benefits

• Medical coverage effective day one of employment • Dental coverage effective day one of employment • Vision coverage effective day one of employment • Company-paid life insurance • Paid time off • 401(k) retirement plan • Employee assistance program • Other voluntary coverage options • Employee discounts • Flexible benefits • Compensation and programs supporting family, finances, and personal well-being