Remote RN Clinical Documentation Specialist (KY/IN)

Baptist Health System KY & IN; Kentucky; Remote; USD 70,000 - 95,000; Full time

Job summary

Baptist Health System KY & IN is seeking a Clinical Documentation Specialist to evaluate physician documentation for accurate severity of illness and coding specificity. The role is remote with residence in KY or IN and requires a registered nurse with active Kentucky license and healthcare nursing experience.

The specialist guides physicians and staff on best practices, leveraging clinical expertise to improve documentation quality, coding accuracy, and patient care outcomes.

Qualifications

• RN with active Kentucky license or equivalent
• Bachelor’s degree preferred with 3 years acute health care nursing experience (including 1 year in clinical documentation)
• ACDIS CCDS or CDIP credentials strongly encouraged
• Knowledge of medical terminology and documentation standards
• Proficient with email, Word, Excel; data entry and data retrieval systems

Responsibilities

• Evaluate physician documentation to ensure patient severity of illness is accurately portrayed in the medical record
• Provide guidance to physicians, nursing and ancillary staff on clinical documentation best practices
• Maintain timely completion of assignments despite workflow fluctuations
• Communicate effectively to support clinical excellence, teamwork and innovation

Skills

Clinical Documentation

Nursing

Communication

Acute care

Terminology

Education

Registered Nurse (KY license)

Bachelor's degree preferred

AA in Nursing

Job description

Baptist Health System KY & IN is seeking a Clinical Documentation Specialist to evaluate physician documentation for accurate severity of illness and coding specificity. The role is remote with residence in KY or IN and requires a registered nurse with active Kentucky license and healthcare nursing experience.

The specialist guides physicians and staff on best practices, leveraging clinical expertise to improve documentation quality, coding accuracy, and patient care outcomes.