Remote Clinical Documentation Specialist - Nursing

BHS; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

Baptist Health is seeking a Clinical Documentation Specialist to join our team. This remote position requires residence in Kentucky or Indiana and focuses on evaluating physician documentation to ensure severity of illness is accurately portrayed in the medical record for precise coding.

The role involves guiding physicians, nurses, and staff on clinical documentation best practices, maintaining timely completion of assignments, strong communication, and proficiency with Word, Excel, and data

Qualifications

• Register Nurse with active Kentucky license
• Bachelor’s degree preferred with 3 years acute health care nursing (including 1 year experience in clinical documentation), OR Associate’s degree in Nursing with 5 years acute health care nursing
• ACDIS CCDS or CDIP strongly encouraged
• Knowledge of medical record organization
• Knowledge of medical terminology
• Ability to complete assignments in a timely manner despite fluctuations in workflow
• Strong interpersonal, communication and listening skills is required
• Knowledge of e-mail, Word, Excel, data entry and data retrieval systems, Encoder and internet

Responsibilities

• Evaluate physician documentation to ensure severity of illness is accurately portrayed in the medical record for specificity of coding and increased coding accuracy
• Provide guidance to physicians, nursing and ancillary staff on clinical documentation best practices
• Must be self-motivated and adaptive to change

Skills

Active Kentucky nursing license

Interpersonal skills

Communication skills

Knowledge of medical terminology

Ability to manage fluctuating workload

Self-motivated

Education

Bachelor’s degree preferred

Associate degree in Nursing

ACDIS CCDS

CDIP

Tools

Microsoft Word

Microsoft Excel

Data entry systems

Data retrieval systems

Encoder

Job description

Baptist Health is seeking a Clinical Documentation Specialist to join our team. This remote position requires residence in Kentucky or Indiana and focuses on evaluating physician documentation to ensure severity of illness is accurately portrayed in the medical record for precise coding.

The role involves guiding physicians, nurses, and staff on clinical documentation best practices, maintaining timely completion of assignments, strong communication, and proficiency with Word, Excel, and data