Remote Part-Time Clinical Documentation Specialist

University of Mississippi Medical Center; United States; Hybrid; USD 41,000 - 69,000; Part time

Job summary

University of Mississippi Medical Center is hiring a Clinical Documentation Specialist (Part Time) to review inpatient records and promote accurate documentation for DRG/APR payor populations. You will work with physicians and care teams to ensure documentation supports quality and appropriate reimbursement.

The role requires an active RN license and at least 2 years of acute care nursing experience, with preference for ER/ICU/Med-Surg experience.

Qualifications

• Two years of nursing experience in acute care, utilization review, case management, and/or quality management.
• Valid RN license.
• Prior ER/ICU/Med-Surg/Trauma or Surgical Services experience preferred.

Responsibilities

• Reviews inpatient medical records within 24-48 hours of admission to ensure accuracy and reflect severity of illness and resource use.
• Collaborates with physicians and healthcare providers to promote documentation improvement opportunities.
• Formulates basic, compliant queries to clarify documentation.
• Identifies and evaluates clinical indicators to support accurate diagnoses.
• Applies techniques to obtain and improve documentation related to patient care and record accuracy.
• Escalates issues to a Senior CDS, provider, or administrator for resolution.
• Collaborates with senior CDS staff to review complex cases and identify educational needs.

Skills

Evidence-based clinical guidelines

ICD-10 Inpatient Coding Guidelines

Resource and utilization management

Proficiency with related software

Verbal and written communication

Analytical and problem-solving

Job description

University of Mississippi Medical Center is hiring a Clinical Documentation Specialist (Part Time) to review inpatient records and promote accurate documentation for DRG/APR payor populations. You will work with physicians and care teams to ensure documentation supports quality and appropriate reimbursement.

The role requires an active RN license and at least 2 years of acute care nursing experience, with preference for ER/ICU/Med-Surg experience.