Remote Clinical Documentation Specialist: Coding & Quality

Singing River Health System; Alabama; Hybrid; USD 70,000 - 90,000; Full time

Job summary

Singing River Health System is seeking a Clinical Documentation Specialist to improve the quality of clinical documentation and ensure accurate coding reflecting illness severity. The role involves extensive collaboration with physicians, nursing staff, and coding teams.

The specialist will reconcile DRG differences, educate clinicians on compliant documentation, and monitor activities to maintain regulatory compliance across payer requirements.

Qualifications

• High School diploma or equivalent required.
• If RN, must be graduate from NLN School of Nursing; Bachelor of Science in Nursing required.
• Current Mississippi RN license preferred.
• Certification pathway: AHIMA or AAPC as RHIA/RHIT/ CCS/ CIP coder (if not RN).

Responsibilities

• Improve the overall quality and completeness of clinical documentation.
• Interact with physicians, nursing staff, and coding staff to reflect illness severity.
• Reconcile DRG differences between Coding and Clinical Documentation teams; ensure compliance with payer regulations.

Skills

Communication skills

De-escalation training

Attention to detail

Education

High School diploma

NLN School of Nursing

BSN

Job description

Singing River Health System is seeking a Clinical Documentation Specialist to improve the quality of clinical documentation and ensure accurate coding reflecting illness severity. The role involves extensive collaboration with physicians, nursing staff, and coding teams.

The specialist will reconcile DRG differences, educate clinicians on compliant documentation, and monitor activities to maintain regulatory compliance across payer requirements.