Clinical Documentation Specialist (RN) - Remote

CentraCare Health; Oregon; Hybrid; USD 89,000 - 133,000; Full time

Benefits offered by this job

Medical benefits

PTO

Tuition reimbursement

Job summary

CentraCare Health is seeking a qualified Clinical Documentation Nurse to join our team. The role focuses on concurrent auditing of medical record documentation to reflect care provided and resources used, with proactive clarification from physicians and staff to ensure accuracy of severity of illness and mortality risk.

The position offers full-time hours (80 per pay period) with remote work after training, 8-hour shifts between 6am–5pm, and occasional travel to CentraCare sites.

Qualifications

• Bachelor's degree in nursing is required.
• Current RN licensure in Minnesota is required.
• Minimum of 3 years acute care experience.
• Performance improvement experience preferred.
• CCD S National Certification as Clinical Documentation Specialist (CCDS) preferred.
• ACDIS CDI Apprenticeship preferred.

Responsibilities

• Audit medical record documentation concurrently to evaluate care and resource use.
• Solicit clarification from physicians and staff when documentation is unclear.
• Share audit results with staff and management for process improvement.

Skills

Critical Thinking

Quality improvement

Education

Bachelor's degree in nursing

Job description

CentraCare Health is seeking a qualified Clinical Documentation Nurse to join our team. The role focuses on concurrent auditing of medical record documentation to reflect care provided and resources used, with proactive clarification from physicians and staff to ensure accuracy of severity of illness and mortality risk.

The position offers full-time hours (80 per pay period) with remote work after training, 8-hour shifts between 6am–5pm, and occasional travel to CentraCare sites.