Clinical Documentation Specialist- Nurse

1st Choice Healthcare, Inc.; Walnut Ridge (AR); On-site; USD 42,000 - 62,000; Full time

Job summary

1st Choice Healthcare, Inc. is seeking a qualified LPN or RN to support data integrity in patient records. You will review patient records ahead of visits, flag missing information, collaborate with providers and staff, and update demographic and insurance data in the EHR.

The role emphasizes compliance with documentation standards, effective communication, and ability to work both independently and as part of a team in a patient-centered, inclusive environment.

Qualifications

• Review patient records ahead of scheduled visits for completeness.
• Identify and flag missing or incomplete documentation.
• Collaborate with providers, nurses, and staff to gather information.
• Verify and update patient demographics, insurance, and medical data in the EHR.
• Ensure compliance with documentation guidelines and regulatory standards.
• Communicate with patients to obtain missing information when needed.

Responsibilities

• Review patient records ahead of scheduled visits to ensure completeness and accuracy.
• Identify and flag missing or incomplete documentation in records.
• Collaborate with providers, nurses, and administrative staff to gather necessary information.
• Verify and update patient demographic, insurance, and medical information in the EHR.

Skills

Organizational skills

Time management

Communication skills

Interpersonal skills

EHR proficiency

Teamwork

Medical terminology

Basic Life Support

Education

LPN or RN license

Tools

EHR systems

Job description

At 1st Choice Healthcare, we embrace and practice patient-centered care and we strive to provide all of our patients with the best possible medical care. We encourage each patient to take an active role in their healthcare. We believe that in addition to helping patients when they are sick, we can and should help guide them in making healthy choices for preventive care.

1st Choice Healthcare is a non-profit, Joint Commission accredited, Federally Qualified Health Center. We welcome all members of our community, especially those unable to afford care. We are founded and governed by our community.

1st Choice Healthcare is an equal opportunity employer. We are committed to fostering a diverse and inclusive work environment, where all individuals are treated with respect and dignity. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, or any other characteristic protected by federal, state, or local law. All employment decisions are based on qualifications, merit, and business needs.

Key Responsibilities:

• Review patient records ahead of scheduled visits to ensure completeness and accuracy.
• Identify and flag missing or incomplete documentation, such as medical history, test results, or referrals.
• Collaborate with providers, nurses, and administrative staff to gather necessary information.
• Verify and update patient demographic, insurance, and medical information in the electronic health record (EHR) system.
• Assist in ensuring compliance with documentation requirements, coding guidelines, and regulatory standards.
• Communicate with patients as needed to obtain missing information or clarify health history.

Qualifications:

• Licensed Practical Nurse (LPN), Registered Nurse (RN)
• 1-2 years of experience in a clinical setting, with familiarity in reviewing and interpreting medical records preferred.
• Strong organizational and time management skills.
• Excellent communication and interpersonal skills.
• Proficiency in electronic health record (EHR) systems.
• Ability to work independently and as part of a team.
• Knowledge of medical terminology and procedures preferred.
• Must be qualified in Basic Life Support techniques.

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