Remote Clinical Documentation Specialist for Quality

Trinity Health; United States; Remote; USD 60,000 - 90,000; Full time

Job summary

Trinity Health seeks a Remote Clinical Documentation Specialist for MercyOne Genesis on a full-time basis. The role supports inpatient coding and the accuracy of severity of illness, risk of mortality, and quality indicators in the health record.

An AA degree in Health Information Technology or an advanced nursing degree is required, or at least three years of inpatient coder or documentation experience. Excellent communication and collaboration with the healthcare team are essential for success.

Qualifications

• Associate or diploma in HIT or advanced nursing degree; or 3 years inpatient coder experience.
• Preferred certifications: RN, RHIA, RHIT, CCS, CCDS or CDIP.
• Experience in critical care or inpatient nursing preferred.
• Strong communication, collaboration and organizational skills.

Responsibilities

• Demonstrates Trinity Mission, Vision and Values in daily work.
• Communicates with physicians and healthcare team about clinical documentation.
• Monitors provider engagement in documentation.
• Conducts concurrent reviews to ensure legibility, clarity and accuracy.
• Formulates clarifications/queries per documentation integrity procedures.

Skills

Communication

Critical thinking

Data entry

Organization

Education

Associate/Diploma in HIT

Nursing degree (NP/APN) or PA

Tools

Windows OS

Job description

Trinity Health seeks a Remote Clinical Documentation Specialist for MercyOne Genesis on a full-time basis. The role supports inpatient coding and the accuracy of severity of illness, risk of mortality, and quality indicators in the health record.

An AA degree in Health Information Technology or an advanced nursing degree is required, or at least three years of inpatient coder or documentation experience. Excellent communication and collaboration with the healthcare team are essential for success.