Remote Clinical Documentation Specialist (RN)

BHS; Kentucky; Remote; USD 65,000 - 85,000; Full time

Job summary

Baptist Health is seeking a Clinical Documentation Specialist for a remote role requiring residence in KY or IN. The specialist will evaluate physician documentation to ensure accurate severity of illness, guide clinicians on best practices, and adapt to workflow fluctuations to maintain timely, high-quality medical records.

Qualifications include active RN license in Kentucky, with a preference for a Bachelor's degree and CDI experience (ACDIS CCDS/CDIP encouraged).

Qualifications

• Registered Nurse with active Kentucky license
• Bachelor’s degree preferred and 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 using clinical expertise to ensure severity of illness is accurately portrayed in the medical record for precise coding and increased coding accuracy.
• Provide guidance to physicians, nursing and ancillary staff on clinical documentation best practices.
• Adapt to changing workflows and maintain self-motivation to meet deadlines.

Skills

Interpersonal skills

Communication

Listening

Clinical terminology knowledge

Education

Bachelor's degree preferred

Associate’s degree in Nursing

Tools

Microsoft Word

Microsoft Excel

Data entry systems

Medical coding software

Job description

Baptist Health is seeking a Clinical Documentation Specialist for a remote role requiring residence in KY or IN. The specialist will evaluate physician documentation to ensure accurate severity of illness, guide clinicians on best practices, and adapt to workflow fluctuations to maintain timely, high-quality medical records.

Qualifications include active RN license in Kentucky, with a preference for a Bachelor's degree and CDI experience (ACDIS CCDS/CDIP encouraged).