REMOTE Clinical Documentation Specialist

Acuity Search Solutions; New York (NY); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Clinical Documentation Specialist to join their award-winning team. This remote role offers an exciting opportunity to contribute to a top-ranked Trauma 1 hospital, ensuring accurate clinical documentation that supports patient care and appropriate reimbursement. Ideal candidates will have a BSN and extensive inpatient nursing experience, with a passion for improving documentation practices. Join a collaborative environment where your expertise will make a significant impact on patient outcomes and hospital success. If you are ready to take on a challenging and rewarding position, this opportunity is perfect for you.

Qualifications

• Graduate from an approved Registered Professional Nursing program required.
• Minimum 5 years inpatient nursing experience needed.

Responsibilities

• Facilitates clinical documentation for severity of illness and reimbursement.
• Educates patient care team on documentation guidelines.

Skills

Clinical Documentation

Nursing

Knowledge of ACDIS, AHIMA, CMS guidelines

Team Collaboration

Education

Registered Professional Nursing Program

BSN

CCDS or CDIP Certification

Job description

Immediate need for a Clinical Documentation Specialist --- REMOTE!!!

BSN strongly preferred

I have a Secondary Level Review CDI Position with one of the top Hospitals in the Country! This is a large Trauma 1 hospital that has won more awards in the New York City area than any other Hospital. It is ranked in the top 25 Hospitals in the country! There are 3 openings for experienced Clinical Documentation Specialists.

Job description:

Facilitates and obtains appropriate clinical medical record documentation on a concurrent basis to support appropriate/expected severity of illness/risk of mortality, complexity of care, medical necessity, and appropriate reimbursement for treatment and services provided. Must, after training, exhibit knowledge of clinical documentation requirements per ACDIS, AHIMA and CMS guidelines, DRG/code assignment and clinical conditions and procedures. Educates members of the patient care team regarding documentation guidelines.

Education: Graduate from an approved Registered Professional Nursing program

Work Experience: Minimum 5 years inpatient nursing experience, with at least 2 years on an adult unit (med/surge/critical care). Must be able to work independently and within teams.

Required: BSN, prior CDI experience preferred in 200+ bed acute care hospitals.

Preferred: CCDS OR CDIP

Contact Information:

Call David at 513-206-9881
AND/OR Email resume to: [e-mail]