Remote RN: Clinical Documentation Specialist

Ascension; Milwaukee (WI); Remote; USD 80,000 - 111,000; Full time

Benefits offered by this job

Health coverage

403(b) retirement plan

PTO and holidays

Tuition reimbursement

Employee Assistance Program

Parental leave

Pet insurance

Job summary

Ascension is seeking a Clinical Documentation Specialist to join the Clinical Integrity Documentation team in a remote, full-time capacity. The role focuses on admission reviews, DRG assignment, and ensuring documentation supports severity of illness and level of service.

You will collaborate with physicians to obtain detailed information, maintain accurate review records, and help ensure compliant medical records prior to discharge.

Qualifications

• AHIMA/AAPC credential obtained before hire date.
• Wisconsin-registered nurse or multi-state Compact license obtained before hire date.
• Clinical Documentation Specialist experience preferred.

Responsibilities

• Complete admission reviews and assign a working DRG; enter data in the CDI database.
• Initiate and maintain interactions with physicians to obtain detailed medical information.
• Collaborate with healthcare professionals to ensure accuracy of illness severity and level of services; resolve physician queries before discharge.
• Maintain accurate records of review activities and report CDI outcomes.

Skills

AHIMA credentials

Nursing licensure

Clinical documentation

Education

High School diploma or equivalent with 2 years experience

Associate's or Bachelor's degree

4 years cumulative job experience

5+ years ICU/ED nursing experience

Clinical Documentation Specialist experience

Job description

Ascension is seeking a Clinical Documentation Specialist to join the Clinical Integrity Documentation team in a remote, full-time capacity. The role focuses on admission reviews, DRG assignment, and ensuring documentation supports severity of illness and level of service.

You will collaborate with physicians to obtain detailed information, maintain accurate review records, and help ensure compliant medical records prior to discharge.