Remote CDI RN: Clinical Documentation Specialist

Highmark Health Company; Little Elm (TX); Remote; USD 43,000 - 67,000; Full time

Job summary

Allegheny Health Network is seeking a Clinical Documentation Specialist to improve medical record documentation quality for better reimbursement and outcomes measurement. You will interact with physicians, nursing staff, and coding teams to ensure complete and accurate clinical information.

The role requires nursing experience, PA RN licensure (or eNLC), and CDI knowledge. Remote/work-from-home setup is available within 50 miles of Greater Pittsburgh or Greater Erie regions.

Qualifications

• High school/ GED.
• Bachelor's Degree in Nursing OR Relevant experience and/or education as determined by the company in lieu of bachelor's degree.
• 5 years in a nursing role.
• Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).

Responsibilities

• Facilitate appropriate clinical documentation through concurrent, prospective, and retrospective medical record review (30%).
• Facilitate modifications to clinical documentation through extensive interaction with physicians, nurses and ancillary staff based on knowledge of coding and HCC guidelines, documentation strategies, and clinical documentation requirements (25%).
• Work collaboratively with coding professionals to assure documentation of diagnoses and comorbidities are a complete reflection of the patient's clinical status and care (10%).
• Formulate credible clinical documentation clarifications to improve clinical documentation (10%).
• Educates all internal customers on compliant documentation responsibilities, coding, and reimbursement issues, as well as performance improvement methodologies (15%).
• Performs other duties as assigned or required (10%).

Skills

Excellent communication

Critical thinking

Nursing experience

Education

Bachelor's Degree in Nursing

RN licensure (PA or multi-state via eNLC)

Tools

Epic

3M 360 Encompass

Job description

Allegheny Health Network is seeking a Clinical Documentation Specialist to improve medical record documentation quality for better reimbursement and outcomes measurement. You will interact with physicians, nursing staff, and coding teams to ensure complete and accurate clinical information.

The role requires nursing experience, PA RN licensure (or eNLC), and CDI knowledge. Remote/work-from-home setup is available within 50 miles of Greater Pittsburgh or Greater Erie regions.