Clinical Documentation Specialist RN - FT - Days

Vitruvian Health; Dalton (GA); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

403(b) Matching (Retirement)

Dental insurance

Employee assistance program (EAP)

Employee wellness program

Employer paid Life and AD&D insurance

Employer paid Short and Long-Term Dis'

Job summary

Vitruvian Health in the northwest Georgia region seeks a Clinical Documentation Integrity Specialist to review patient records, ensuring accurate documentation of care and resource use.

You will query physicians when documentation is unclear, and act as a bridge between Health Information Management, Coding, and clinical staff. This full-time role requires RN licensure, 3–5 years RN experience, and strong computer skills.

Qualifications

• RN license with valid CPR/BLS certification.
• 3–5 years nursing experience as RN; 2 years clinical.
• Utilization Review experience preferred; strong computer skills required.

Responsibilities

• Review patient records to ensure complete documentation of care.
• Query physicians when documentation is unclear or deficient.
• Collaborate between Health Information Management, Coding, and clinical staff.
• Operate with minimal supervision; non-patient facing role.

Skills

Computer skills

Education

RN Nursing License

BSN preferred

Job description

About Us

At Vitruvian Health, we serve with compassion. As northwest Georgia and southeast Tennessee's leading healthcare system, we are committed not only to the health of our communities, but also to the growth, support, and success of our team members.

Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With over 80 points of access across the region, including Hamilton Medical Center and Bradley Medical Center, we offer the opportunity to be part of something bigger: a connected, mission-driven team changing lives every day.

Our core values, Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE), guide everything we do. We believe in empowering our people, celebrating differences, and delivering care that reflects the heart of our mission.

Join us and build a meaningful career where you're valued, inspired, and supported to make a real impact.

Excellence. Every person. Every time.

JOB SUMMARY

Reviews patient medical records and assesses whether all conditions and treatments are documented. This reflects a clear accurate and complete picture of the resources utilized for the care received and how complex the condition of the patient. Clinical Documentation Integrity Specialists query physicians when documentation is unclear or deficient. Clinical Documentation Integrity Specialists serve as the bridge between Health Information Management, Coding and clinical staff. Practices with minimum supervision from another licensed professional. Not a patient facing position.

JOB QUALIFICATIONS

Education: Graduate of an accredited School of Nursing, BSN preferred

Licensure : Valid RN Nursing License as evidenced by primary source. Basic Life Support through AHA or ARC is preferred.

Experience: Three to Five years of nursing experience as an RN with two years of recent clinical experience. Utilization Review experience is preferred. Computer skills experience required.

Full-Time Benefits

• 403(b) Matching (Retirement)
• Dental insurance
• Employee assistance program (EAP)
• Employee wellness program
• Employer paid Life and AD&D insurance
• Employer paid Short and Long-Term Disability
• Flexible Spending Accounts
• ICHRA for health insurance
• Paid Annual Leave (Time off)
• Vision insurance