Remote Clinical Documentation Specialist - RN, CCDS/CDIP

Talentify; Middletown (CT); Remote; USD 70,000 - 120,000; Full time

Benefits offered by this job

Health insurance

Vision insurance

Dental insurance

401k

Job summary

Actalent is seeking a Fully Remote Clinical Documentation Specialist to improve documentation quality across care teams. You will perform concurrent and retrospective reviews, educate providers, and ensure regulatory compliance while collaborating with physicians, nurses, and other caregivers.

The ideal candidate holds an RN license, CCDS/CDIP certification (CCS if CCDS-2) and 3+ years of nursing experience, with strong EHR skills and excellent communication.

Qualifications

• RN license from any state.
• CCDS or CDIP certification required.
• CCS certification if CCDS-2.
• Minimum of 3 years of clinical nursing experience.
• Strong knowledge of clinical documentation standards and regulatory requirements.
• Excellent communication and interpersonal skills.
• Ability to collaborate with healthcare providers and multidisciplinary teams.
• Proficiency in EHR systems.

Responsibilities

• Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers.
• Perform concurrent and retrospective reviews of medical records to ensure accurate documentation of patient care.
• Educate healthcare providers on the importance of accurate and complete clinical documentation.
• Utilize clinical knowledge and expertise to identify opportunities for documentation improvement.
• Ensure compliance with regulatory requirements and guidelines.
• Participate in multidisciplinary team meetings to discuss documentation improvement strategies.
• Provide feedback to healthcare providers on documentation practices and areas for improvement.
• Maintain up-to-date knowledge of clinical documentation standards and best practices.

Skills

RN license

Communication

Team collaboration

EHR proficiency

Education

RN license (licensure)

CCDS/CDIP certification

CCS certification

Tools

Electronic Health Records (EHR)

Job description

Actalent is seeking a Fully Remote Clinical Documentation Specialist to improve documentation quality across care teams. You will perform concurrent and retrospective reviews, educate providers, and ensure regulatory compliance while collaborating with physicians, nurses, and other caregivers.

The ideal candidate holds an RN license, CCDS/CDIP certification (CCS if CCDS-2) and 3+ years of nursing experience, with strong EHR skills and excellent communication.