RN Clinical Documentation Specialist

The Denver Hospice; Denver, Northern (CO, KY); Hybrid; USD 86,000 - 97,000; Full time

Benefits offered by this job

Health insurance

HSA with employer funding

PTO 18 days

403(b) retirement plan

Education reimbursement

Job summary

The Denver Hospice is seeking an RN Clinical Documentation Specialist to ensure clinical documentation meets CMS and regulatory requirements. This full-time role supports hospice care with 8-5 weekday scheduling and a competitive annual pay range.

The position emphasizes chart reviews, collaboration with physicians, and ongoing staff education to drive documentation quality, audit readiness, and regulatory compliance across the organization.

Qualifications

• Graduate of an accredited school of nursing.
• 5 years’ hospice or home health medical record review experience preferred, including Medicare/Medicaid rules.
• 2 years’ experience with EHRs and auditing software required; proficiency with Microsoft Office.
• Current Colorado RN license or NLC license; OASIS D/ICD-10 preferred.

Responsibilities

• Review patient medical records to ensure clinical, regulatory, and billing compliance.
• Identify missing or conflicting documentation and coordinate with physicians for clarification.
• Verify records and billing comply with CMS/HIPAA and state regulations.
• Educate clinicians on documentation best practices and assist audits and improvement efforts.

Skills

Medical record review

EHR proficiency

Regulatory compliance

Communication skills

Education

RN license

Tools

EHR systems

Microsoft Office

Job description

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

Status: Full-time

Schedule: Monday-Friday, 8-5

Pay Range: $85,904 - $97,136 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 patients’ 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 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 like the Office of Inspector General (OIG), Accreditation Commission for Health Care (ACHC) & Colorado Department of Public Health and Environment (CDPHE).
• Ability to critically appraise hospice patient charts and determine if they are in compliance.
• Translate audit findings and trends into organizational improvement activities.
• Create and deliver educational offerings, team member coaching, etc., from chart findings to drive improvement.

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.

Care Synergy is a network of mission driven, nonprofit healthcare organizations dedicated to caring for very ill, frail, and primarily elderly individuals by keeping them at home and out of the hospital while maximizing comfort, dignity, and quality of life.

The Care Synergy enterprise includes a group of collaborating nonprofit Affiliates across Colorado’s Front Range that share resources, expertise, and infrastructure to deliver high quality, compassionate care. Collectively, the enterprise generates approximately $100 million in annual revenue and serves thousands of individuals and families each year through hospice, home health, palliative care, CAPABLE, wellness, and PACE programs.

Across the Care Synergy network, the organizations provide significant community impact, including more than 7,000 hospice patients served annually, more than 2,000 palliative care patients, more than 355,000 hospice days of care each year, and more than $1.6 million in charitable care provided annually.

Care Synergy affiliated programs include The Denver Hospice, Pathways Hospice, Pikes Peak Hospice and Palliative Care, Colorado Visiting Nurse Association, CAPABLE, and Superior Medical Equipment, along with PACE programs including Colorado PACE and Pathways PACE.

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.

#TDH

Equal Opportunity Employer
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