RN Clinical Documentation Specialist

Denver Hospice; Denver (CO); On-site; USD 80,288 - 94,328; Full time

Benefits offered by this job

Health Savings Account (HSA)

403(b) Retirement Plan with Employer Match

Education Reimbursement Program

Extensive Paid Time Off

Job summary

Denver Hospice in Denver, CO, seeks an RN Clinical Documentation Specialist to ensure compliance with clinical and regulatory standards.

The position requires reviewing patient records, educating staff on documentation, and assisting with audits. A Colorado RN license and 5 years of experience in hospice or home health are preferred.

This full-time role offers a salary range of $80,288 - $94,328 annually and robust benefits, including extensive paid time off and substantial healthcare coverage.

Qualifications

• 5 years of experience in hospice or home health medical record review.
• 2 years of experience with electronic health records (EHRs).
• Current Colorado RN license.

Responsibilities

• Review patient medical records for compliance with regulations.
• Educate clinicians on proper documentation procedures.
• Assist in preparing for audits from regulatory bodies.

Skills

Analytical skills

Excellent communication

Experience with EHRs

Knowledge of Medicare and Medicaid regulations

Education

Graduate of an accredited school of nursing

Tools

Microsoft Office

Job description

Location: TDH Main, 8289 E. Lowry Blvd, Denver, CO 80230, USA.

The Denver Hospice has an opening for an RN Clinical Documentation Specialist.

Status: Full-time

Schedule: Monday-Friday, 8-5

Pay Range: $80,288 - $94,328 annually

Supplemental Pay: Based on position, schedule and/or availability: Stipends/Shift Diffs/Paid Mileage

Mileage and Expense Reimbursement: Sixty-two and a half cents per mile – one of the highest in the industry!

CULTURE, BENEFITS AND PERKS:

• We value engagement, community, and outreach initiatives and know it matters for our team members and our patients.
• We provide welcoming and supportive care to our patients and a work environment where all team members feel respected and valued.
• We support a culture of work-life balance and provide team members with two, free, confidential and robust benefit programs designed to provide solutions to the logistical and financial problems that arise in life.
• Employer pays over 90% of employee medical premium in some plans.
• Health Savings Account (HSA) with significant Employer Funding: Single $1,000, Family $2,000.
• Healthcare Benefits are effective on the 1st of the month following 30 days of employment.
• Extensive Paid Time Off (PTO/Vacation Pay/Sick Leave): 18 days in the first year for FT team members.
• Seven Paid Holidays with an additional Floating Holiday.
• 403(b) Retirement Plan with Employer Match: 50% match up to 8% of total compensation.
• Company-Paid Life and AD&D Insurance.
• Education Reimbursement Program.
• Clinical Career Ladders.
• Certification Pay.
• Team Member Service Awards.
• Early Wage Access.
• Legal and Identity Protection.
• Robust Leadership Development Training Programs.

REWARDING WORK YOU WILL DO:

Responsible for reviewing patient medical records to ensure they meet clinical, regulatory, and billing compliance standards. This role combines clinical expertise with a deep understanding of healthcare regulations, including those from the Centers for Medicare and Medicaid Services (CMS).

• Conducts thorough reviews of clinical documentation during the patient’s stay, often within 24-48 hours of admission, such as patient charts, care plans, and physician's orders, to ensure they are complete, accurate, and support the patient's initial and ongoing eligibility for hospice services.
• Identifies missing, vague, or conflicting documentation regarding a patient’s condition and treatment and works closely with physicians and other providers to gain clarity or obtain additional information.
• Verifies that all records and billing practices adhere to applicable federal and state regulations, including CMS and HIPAA standards.
• Analyzes audit findings to identify trends and patterns in documentation quality. Generates quality reports and presents findings to clinical staff and leadership to facilitate continuous improvement.
• Educates clinicians and other staff on proper documentation procedures, compliance essentials, and best practices. May help develop training materials for staff development.
• Assists in preparing for internal and external audits, including those from regulatory bodies such as the Office of Inspector General (OIG), Accreditation Commission for Health Care (ACHC) & Colorado Department of Public Health and Environment (CDPHE).

WHAT WE ARE GOING TO LOVE ABOUT YOU:

• Graduate of an accredited school of nursing.
• 5 years’ experience in hospice or home health medical record review, medical terminology, and relevant regulations, including Medicare and Medicaid rules is preferred.
• 2 years’ experience with electronic health records (EHRs) and auditing software is necessary. Proficiency with basic computer programs, including the Microsoft Office suite, is also required.
• Excellent written and verbal communication skills are critical for reporting findings and providing feedback to staff.
• Strong analytical and critical-thinking skills are needed to research complex coding and compliance issues.
• Current Colorado RN license or a license from the state of primary residence, if participating in the NLC (Nurse Licensure Compact). OASIS D and ICD-10 certification is preferred but may be substituted for actual hands‑on experience.

PHYSICAL REQUIREMENTS:

• Ability to lift/carry a minimum of 30 lbs.

Equal Opportunity Employer

The Organization does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, gender identity, pregnancy, national origin, age, disability, creed, ancestry, genetic information, marital status, sexual orientation/identity, transgender status, military or veteran status, or any other characteristic protected by federal, state, or local law. This prohibition includes unlawful harassment based on any of these protected classifications.