Offer summary

Qualifications:

Medical degree or RN license required., 2-3 years of experience as a Clinical Documentation Specialist., Experience in OBGYN, Pediatrics, or Inpatient Psychiatry preferred., CCDS or CCDIP certification is mandatory..

Key responsabilities:

Review medical records for accuracy and completeness.

Collaborate with physicians and healthcare professionals on documentation.

Ensure compliance with MS-DRG classification and CMS regulations.

Conduct concurrent medical record reviews and quality assessments.

Job description

Clinical Documentation Specialist (CDS) – Remote (20 Openings)

Contract Duration: 26 weeks (Potential to go perm with facility)
Location: Fully remote, candidates must be based in one of the following states:
Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Illinois, Louisiana, Michigan, Minnesota, Missouri, Montana, Nevada, New Jersey, North Carolina, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington.
(Exceptions may be made for highly qualified candidates outside this footprint only if we have trouble filling with current requirements)

Job Overview:
The Clinical Documentation Specialist (CDS) will utilize their clinical expertise to review medical records, ensuring accurate and complete documentation that reflects the severity of illness and quality of care. The role involves concurrent medical record review, collaboration with physicians and healthcare professionals, and adherence to MS-DRG classification and compliance regulations set by CMS.

Required Qualifications:

Licensure/Education: IMG with a medical degree or RN license.
Experience: Minimum 2-3 years of Clinical Documentation Specialist experience.
Preferred Specialties: Experience in OBGYN, Pediatrics, Inpatient Psychiatry.
Preferred Skills: Quality-based reviews, mortality reviews, and risk adjustment tool experience.
Certifications: CCDS or CCDIP required.
Key Competencies: Strong communication skills, ability to work effectively in a remote team environment.

Recruitment Process:

Application review
Assessment - proctored assessment with the team assistant
Interview
Offer and onboarding