Remote Clinical Documentation Specialist — RN

BHS Baptist Healthcare System; United States; Remote; USD 70,000 - 95,000; Full time

Job summary

Baptist Health is seeking a remote Clinical Documentation Specialist to evaluate physician documentation and ensure accurate illness severity portrayal for coding precision. The role requires an active Kentucky license and involves guiding physicians, nurses, and staff on best practices in clinical documentation.

The position emphasizes timely completion of assignments, adaptability to workflow fluctuations, and strong communication skills in a remote work environment.

Qualifications

• Register 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 Credential (CCDS) or Certified Documentation Improvement Professions (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 accuracy of illness severity and coding specificity
• Provide guidance to physicians, nursing and ancillary staff on clinical documentation best practices
• Demonstrate self-motivation and adaptability to change in a remote work setting

Skills

Interpersonal skills

Communication

Listening skills

Medical terminology

Education

Registered Nurse license

Bachelor’s degree preferred

ACDIS CCDS or CDIP encouraged

Tools

Word

Excel

Encoder

Data entry systems

Internet

Job description

Baptist Health is seeking a remote Clinical Documentation Specialist to evaluate physician documentation and ensure accurate illness severity portrayal for coding precision. The role requires an active Kentucky license and involves guiding physicians, nurses, and staff on best practices in clinical documentation.

The position emphasizes timely completion of assignments, adaptability to workflow fluctuations, and strong communication skills in a remote work environment.