Clinical Documentation Specialist - Remote

ProMedica; United States; Remote; USD 42,000 - 135,000; Part time

Job summary

ProMedica is seeking a Clinical Documentation Specialist to enhance the quality and completeness of provider-based clinical documentation. You will review patient records and help providers ensure accuracy for illness severity and services rendered.

You will work with providers, coders and care teams to develop education on documentation improvement and manage clarification requests. This remote role is per diem with state-based eligibility.

Qualifications

• 1–2 years of inpatient coding experience.
• RN with active state licensure OR Certification: RHIA/RHIT, CCS, CDIP, CCDS.

Responsibilities

• Review patient records to improve quality and completeness of clinical documentation.
• Assist providers to ensure accuracy for severity of illness and level of services rendered.
• Develop and deliver clinical documentation improvement education to providers.
• Collaborate with providers, coders and care team; monitor and respond to documentation clarification requests.

Skills

Inpatient coding experience

Clinical documentation improvement

Education

Associate degree in Health Information Management or related field

RN licensure OR RHIA/RHIT/CCS/CDIP/CCDS certification

Job description

Location:

Remote PHS

Department:

HIM Revenue Cycle

Weekly Hours:

0

Status:

Per Diem

Shift:

Days (United States of America)

Job Summary

As a Clinical Documentation Specialist, you work to improve the overall quality and completeness of provider-based clinical documentation. This includes reviewing patient records and assisting providers to ensure patient records are accurate for severity of illness and level of services rendered.

In this role, you will work with providers, coders and other patient care team members for comprehensive patient documentation. You will also develop and deliver clinical documentation improvement education to providers, and you will formulate, monitor and respond to all compliant documentation clarification requests.

The above summary is intended to describe the general nature and level of work performed by the positions; it should not be considered exhaustive.

REQUIRED QUALIFICATIONS

• 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 QUALIFICATIONS

• Bachelor of Nursing or bachelor’s degree in Health Information Management or related field
• Experience with acute care inpatient coding or clinical documentation improvement
• RN, RHIA/ RHIT, CCS, CDIP, CCDS certification

Salary Range - $41,600 - $134,680

Our benefits package for per diem employees offers a 401k retirement plan (no company match for per diem status), an employee assistance program and employee discounts

This is a remote position; however, employment is limited to residents of certain U.S. states due to legal, tax, and regulatory requirements. At this time, we cannot offer employment to individuals residing in California, Colorado, Hawaii, Massachusetts, New Jersey, New York, Oregon, Pennsylvania, Washington, or U.S. territories. Eligibility is based on applicant’s primary residence at time of hire.

ProMedica

ProMedica is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being, ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of health.For more information about ProMedica, please visit promedica.org/aboutus.

Benefits:

We provide flexible benefits that include compensation and programs to help you take care of your family, your finances and your personal well-being. It’s what makes us one of the best places to work, and helps our employees live and work to their fullest potential.

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact [e-mail]

Equal Opportunity Employer/Drug-Free Workplace