Clinical Documentation Specialist at Limitlessli

At Limitlessli we specialize in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.

The Opportunity:

The Clinical Documentation Specialist (CDS) is responsible for improving the quality, accuracy, and completeness of clinical documentation. A key focus of this role is the timely and accurate retrieval of medical records and documentation in response to internal and external requests, including audits, payer inquiries, legal requests, and regulatory reviews. The CDS ensures documentation supports appropriate coding, billing, and compliance standards while maintaining the confidentiality and integrity of patient health information.

This position is remote and offers you the flexibility of working from home.

Your responsibilities will include:

• Medical Record Retrieval:
  • Retrieve and compile patient medical records upon request from payers, auditors, legal entities, and internal departments.
  • Track and prioritize requests to ensure timely fulfillment in accordance with HIPAA and organizational policies.
  • Coordinate with clinical and administrative staff to locate missing documentation as needed.
• Clinical Documentation Review:
  • Provide the necessary documentation to the clinical compliance officer for review.
• Compliance and Confidentiality:
  • Adhere to all applicable federal and state laws, including HIPAA, related to privacy and release of information.
  • Ensure secure transmission of medical records and maintain records of all disclosures and requests.
• Data Management and Reporting:
  • Maintain logs of medical record requests and responses.
  • Generate reports on request fulfillment, turnaround times, and compliance trends.

To succeed in this role:

• Registered Nurse
• Minimum of 2 years of experience in medical records, health information management, or a related healthcare administrative role.
• Working knowledge of HIPAA Privacy Rule requirements governing the use and disclosure of protected health information.
• Familiarity with medical records release laws at the state and federal level, including patient rights of access.
• Strong attention to detail and ability to manage a high volume of requests with accuracy and within established deadlines.
• Proficiency in electronic health record (EHR) systems and document management platforms; experience with Microsoft Office Suite (Word, Excel, Outlook) required.
• Ability to maintain strict confidentiality and exercise sound judgment in handling sensitive patient and organizational information.
• Strong written and verbal communication skills with the ability to correspond professionally with patients, external facilities, payors, and regulators.
• Strong interpersonal skills with the ability to collaborate effectively across clinical, compliance, and administrative teams.
• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) credential, or pursuit thereof, is a plus

Service Fee:

Industry standards applicable to the state depend on work experience and level of expertise.

Hours:

US Eastern Standard Time (EST) – 9 AM EST to 6 PM EST (Mon to Fri)

Why Limitlessli?

We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, all from the comfort of your home.

Essential requirements:

You will need to have some essential tools – a reliable computer and noise-canceling headset, a second monitor for enhanced productivity, and a stable internet connection. You’ll also be required to have a backup internet connection, ensuring that you’re well-equipped to complete your work seamlessly.

Don't miss out on this opportunity – apply now and become a valuable member of the Limitlessli team! If you're interested in what you have read, then we invite you to take the next step and submit your application.

JOIN OUR TEAM!!