Clinical Documentation Specialist

Tech One IT; California (MO); Remote; USD 60,000 - 80,000; Full time

Job summary

An innovative firm is seeking a Clinical Documentation Specialist (CDS) to join their remote team. This role is crucial in ensuring that medical records are accurate and reflect the quality of care provided. The CDS will leverage their clinical expertise to conduct concurrent reviews and collaborate with healthcare professionals while adhering to compliance regulations. With a contract duration of over six months, this position offers a pathway to permanent employment. If you are passionate about healthcare documentation and thrive in a remote environment, this opportunity is perfect for you.

Qualifications

• Minimum 2-3 years of Clinical Documentation Specialist experience.
• Experience in OBGYN, Pediatrics, Inpatient Psychiatry preferred.

Responsibilities

• Review medical records for accurate and complete documentation.
• Collaborate with physicians and healthcare professionals.

Skills

Strong communication skills

Quality-based reviews

Risk adjustment tool experience

Education

Medical degree or RN license

CCDS or CCDIP certification

Job description

This range is provided by Tech One IT. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$65.00/hr - $70.00/hr

Description: Clinical Documentation Specialist (CDS) – Remote (20 Openings)

Contract Duration: 6+ months, 26 weeks (Potential to go perm with facility)

Location: Fully remote, candidates must be based in one of the following states:

Job Overview:

The Clinical Documentation Specialist (CDS) will utilize their clinical expertise to review medical records, ensuring accurate and complete documentation that reflects the severity of illness and quality of care. The role involves concurrent medical record review, collaboration with physicians and healthcare professionals, and adherence to MS-DRG classification and compliance regulations set by CMS.

Required Qualifications:

1. Licensure/Education: IMG with a medical degree or RN license.
2. Experience: Minimum 2-3 years of Clinical Documentation Specialist experience.
3. Preferred Specialties: Experience in OBGYN, Pediatrics, Inpatient Psychiatry.
4. Preferred Skills: Quality-based reviews, mortality reviews, and risk adjustment tool experience.
5. Certifications: CCDS or CCDIP required.

Key Competencies: Strong communication skills, ability to work effectively in a remote team environment.

Recruitment Process:

1. Application review
2. Assessment - proctored assessment with the team assistant
3. Interview
4. Offer and onboarding

• COVID-19 Vaccine (Facility Guideline): Required + Booster - Medical/Religious Exemptions only

Seniority level

Associate

Employment type

Contract

Job function

Information Technology

Industries

Technology, Information and Media