Clinical Documentation Specialist

University of Arkansas; United States; Remote; USD 60,000 - 80,000; Part time

Job summary

The University of Arkansas seeks a Clinical Documentation Improvement Specialist responsible for enhancing the quality of clinical documentation. Key duties include reviewing medical records to reflect patient severity accurately and collaborating with healthcare teams to ensure optimal coding and reimbursement. Candidates should hold an RN license with relevant experience or CCS certification, ensuring comprehensive knowledge of medical coding practices.

Benefits

Health: Medical, Dental and Vision plans

Education discount for staff and dependents

Retirement: Up to 10% matched contribution

Career Training and Educational Opportunities

Qualifications

• RN with 4 years inpatient experience or CCS certified with 6 years coding experience required.
• Experience in Emergency, Critical Care, or Medical/Surgical areas is preferred.
• Competence in coding and understanding of anatomy/physiology necessary.

Responsibilities

• Review clinical documentation to ensure it accurately reflects patient care severity.
• Educate providers on clinical documentation guidelines and coding.
• Analyze health records to impact acuity and resource use.

Skills

Clinical Documentation Improvement

Data Abstraction

Quality Management

Clinical Audit

CPT Coding

Education

Registered Nurse (RN) License

CCS Certification

Job description

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System two-year institutions will also view open positions and apply within Workday by searching for “Find Jobs for Students”.

All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated).

If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through “My Draft Applications” located on your Candidate Home page.

Closing Date: 07/17/2025

Type of Position: Professional Staff - Project/Program Administration

Job Type: Temporary (Fixed Term)

Work Shift:
Sponsorship Available: No

Institution Name: University of Arkansas for Medical Sciences

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.

UAMS offers amazing benefits and perks (available for benefits eligible positions only):

• Health: Medical, Dental and Vision plans available for qualifying staff and family
• Holiday, Vacation and Sick Leave
• Education discount for staff and dependents (undergraduate only)
• Retirement: Up to 10% matched contribution from UAMS
• Basic Life Insurance up to $50,000
• Career Training and Educational Opportunities
• Merchant Discounts
• Concierge prescription delivery on the main campus when using UAMS pharmacy

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button.

The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual orientation, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University’s Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

For general application assistance or if you have questions about a job posting, please contact Human Resources at [e-mail].

Department: FIN | CORE Coding - CUMG

Department's Website:

Summary of Job Duties:
**Remote - Work From Home Position**

The Clinical Documentation Improvement Specialist is responsible for improving overall quality and completeness of clinical documentation to ensure that the information in the medical record accurately reflects the patient's severity of illness, clinical needs, and utilization of resources. This position reviews death medical records to ensure the severity of illness and risk of mortality has been captured at the highest level. It works with providers to capture clinical care in code format for reimbursement and to ensure UAMS has the correct case mix. Reviews all admission types to ensure severity is captured and educates providers on admission types.

Qualifications:

Minimum Qualifications:

• Registered Nurse (RN) with current license plus 4 years inpatient clinical experience in Emergency, Critical Care, or Medical/Surgical areas with experience in Quality, Case Management, Clinical Audit, or Data Abstraction OR Coding professional with CCS certification and 6 years of inpatient coding experience with education in anatomy/physiology and pharmacology.

Preferred Qualifications:

• Current CCDS.

Additional Information:

- Applies extensive clinical knowledge to analyze health record documentation, identifying diagnoses, treatments, and procedures impacting acuity and resource use. Uses disease processes, surgical procedures, UHDDS definitions, and ICD-10 guidelines for coding and reporting.

- Reviews death records and uses Vizient calculator to ensure accuracy of risk of mortality and severity scores. Ensures severity is captured in all hospital admissions.

- Interacts with physicians, nursing staff, coding staff, and other healthcare team members to clarify documentation and facilitate accurate coding and reimbursement. Ensures documentation is clear, concise, and specific.

- Develops and delivers education on clinical documentation, coding guidelines, and regulatory requirements through various formats.

- Performs other duties as assigned.

Salary: Commensurate with education and experience

Required Documents: List of three professional references (name, email, business title), Resume

Optional Documents:

Special Instructions: Please upload all application materials to UASYS career site. Do not send to the listed recruitment contact.

Pre-employment Screening: Criminal Background Check

This position is subject to pre-employment screening, including criminal background, drug testing, and education verification. Criminal history is evaluated in relation to job responsibilities and business necessity.

Physical Activity: Manipulate items with fingers, sit, feel, hear, perform repetitive motions, talk, crouch, grasp, kneel, lift, pull, push, reach, stand, stoop, walk

Benefits Eligible: No