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Clinical Documentation Specialist

Jobot Consulting
Oklahoma, OK Contractor
POSTED ON 3/13/2025
AVAILABLE BEFORE 4/11/2025
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Job details

Clinical Documentation Specialist-100% Remote-Must have AMC experience Opportunity!!!

This Jobot Consulting Job is hosted by Robert Reyes

Are you a fit? Easy Apply now by clicking the "Easy Apply" button and sending us your resume.

Salary $70 - $85 per hour

A Bit About Us

Clinical Documentation Specialist-100% Remote-Must have AMC experience Opportunity!!!

Prestige Hospital System

Advancing new knowledge and improving health outcomes through research



Why join us?


Clinical Documentation Specialist-100% Remote-Must have AMC experience Opportunity!!!

Competitive compensation

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Flexible Schedule

Job Stability

Career growth

If you are passionate, thrive in a fast-paced environment and are ready to take your career to the next level, we would love to hear from you.

Job Details

Clinical Documentation Specialist-100% Remote-Must have AMC experience Opportunity!!!

Job Details

We are currently looking for a dynamic and experienced Consulting Clinical Documentation Specialist (CDS) to join our team. This role is essential to our mission of providing high-quality healthcare services. The successful candidate will be responsible for evaluating and improving clinical documentation to ensure compliance with regulatory standards and facilitate accurate representation of the patient's clinical status. This role requires a high level of interaction with physicians, nurses, and other healthcare professionals, so excellent communication skills are essential. The Consulting CDS will also play a crucial role in educating all members of the patient care team on documentation guidelines on an ongoing basis.

Responsibilities

  • Perform concurrent review of inpatient medical records for proper documentation.
  • Facilitate modifications to clinical documentation to accurately reflect patient severity of illness and risk of mortality through interaction with physicians, case management, nursing staff, other patient caregivers, and medical records coding staff.
  • Provide education to all members of the healthcare team on documentation opportunities, coding, and reimbursement issues, as well as performance improvement methodologies.
  • Develop and implement strategies to support documentation of clinical care and ensure compliance with regulatory standards.
  • Work collaboratively with the healthcare team to facilitate documentation for severity of illness, expected risk of mortality, and complexity of care.
  • Participate in the analysis and trending of statistical data for specified patient populations to identify opportunities for improvement.
  • Assist in the development and implementation of action plans for improvement in compliance with state and federal regulations.
  • Provide expertise in the utilization of electronic health records.

Qualifications

  • Must have a current, valid RN, MD, or AMC license.
  • Bachelor's degree in Nursing, Medicine, Health Information Management, or related field.
  • Minimum of 5 years of recent acute care experience, including critical care, medical/surgical, and/or emergency room.
  • Previous experience in clinical documentation improvement, case management, and health information management is highly desirable.
  • Strong knowledge of disease pathophysiology and drug utilization.
  • Excellent written and verbal communication skills, particularly in the area of technical medical terminology.
  • Ability to work independently in a time-oriented environment.
  • Strong organizational skills with an ability to prioritize and manage multiple tasks.
  • Proficiency in the use of various computer software applications, including Microsoft Office Suite and electronic health records systems.
  • Certification as a Clinical Documentation Specialist is preferred.

This is an exciting opportunity for a healthcare professional looking to take on a challenging and rewarding role. If you have the necessary qualifications and are eager to enhance the quality of patient care through accurate and thorough clinical documentation, we would love to hear from you.

Interested in hearing more? Easy Apply now by clicking the "Easy Apply" button.

Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.

Want to learn more about this role and Jobot Consulting?

Click our Jobot Consulting logo and follow our LinkedIn page!

Salary : $70 - $85

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