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Clinical Documentation Reviewer (VA Medical Center – Bay Pines)

Role overview

Qualifications

  • Active CCDS or CDIP credential
  • Minimum 5 years of clinical documentation review experience in an acute care setting
  • Familiarity with VA systems and CAN Score methodology preferred
  • Strong communication and collaboration skills

Responsibilities

  • Attend up to three 30-minute huddles daily to present documentation review findings
  • Conduct thorough reviews of inpatient charts focusing on high-risk patients
  • Ensure all work adheres to TUWYN contract requirements and HIPAA compliance
  • Collaborate with VA physicians and interdisciplinary teams to clarify documentation needs

Key facts

Other skills

  • Collaboration
  • Communication
  • Multitasking

About the company

HYRE HARPER Co. logo

HYRE HARPER Co.

Administrative Management and General Management Consulting Services 541611 Secondary: 561311 – Employment Placement Agencies Help job seekers find permanent or temporary jobs by matching their skills and experience with open positions. 561320 – Temporary Help Services Provide businesses with a flexible and cost-effective way to fill temporary staffing needs. 561312 – Executive Search Services Help companies find and hire qualified executives for senior-level positions. 561110 – Office Administrative Services Provide a range of clerical, financial, and other support services to businesses on a contract or fee basis. 541613 – Marketing Consulting Services Help businesses grow their brands and reach their target audiences. 813910 – Business Associations Membership organizations that promote and support the interests of their members. Hyre Harper Co. is a SBA Certified Service-Disabled Veteran-Owned Small Business revolutionizes government contract bidding through AI-powered automation and military-honed expertise. Our proprietary technologies streamline tedious tasks, accelerate decision velocity, safeguard compliance, and maximize process efficiency. We meticulously tailor solutions to each organization’s distinct objectives and constraints, unlocking transformative potential in contracting.

Company details

Company size2 - 10

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Job description

This is a remote position.

Position Overview

We are seeking a Clinical Documentation Reviewer to support TUWYN’s contract with the VA Medical Center (Bay Pines). This role focuses on clinical documentation review (not improvement or integrity) to ensure accurate, complete, and compliant documentation for high-risk patients. The position involves participating in daily huddles with VA physicians and interdisciplinary teams, prioritizing reviews for patients with a Care Assessment Need (CAN) Score > 90%, and collaborating to meet VA KPIs.


Key Responsibilities

  • Daily Huddle Participation:

    • Attend up to three 30-minute huddles daily (Red, Purple, Green teams), Monday–Friday. The first few months will be a Trail period, and if program is successful our team will be asked to attend up to 6 huddles per day.
    • Present documentation review findings within a 5-minute window per huddle.
    • Engage collaboratively to support documentation improvements and physician priorities.
  • Clinical Documentation Review:

    • Conduct thorough reviews of inpatient charts, focusing on high-risk patients (CAN Score > 90%).
    • Re-review charts as needed during patient stays to maintain accuracy and compliance.
    • Abstract key clinical information for reporting and quality assurance.
  • Compliance & Standards:

    • Ensure all work adheres to TUWYN contract requirements, using TUWYN or VA.gov email addresses, logos, and documentation templates.
    • Maintain confidentiality and comply with HIPAA and VA security protocols.
  • Collaboration & Coordination:

    • Work closely with VA physicians, other CDISs, and interdisciplinary teams to clarify documentation needs.
    • Support onboarding of CCDS/CDIP candidates as TUWYN contractors in coordination with HYRE HARPER Co and Samstaff.
    • Assist in sharing team feedback and project updates with leadership.
  • Performance Tracking:

    • Contribute to meeting VA KPIs, including review completion rates and turnaround times.
    • Provide input for continuous improvement and success metric alignment with VAMC expectations.
    • Follow directions on Review Sheets, which are uploaded to a secure file in real time.
  • Good to know
    • Reviews have been taking on average 30 minutes. Some reviews have no recommendations and will be quick, some are longer if CAN Score is high. 




Requirements

Qualifications

  • Required:

    • Active CCDS or CDIP credential.
    • Minimum 5 years of clinical documentation review experience in an acute care setting.
    • Familiarity with VA systems and CAN Score methodology preferred.
    • Strong communication and collaboration skills.
  • Preferred:

    • Active RN, MD, FMG, RHIA, RHIT
    • Experience working with government contracts or VA Medical Centers.
    • Ability to manage multiple priorities in a fast-paced environment.

Work Schedule

  • Monday–Friday, Up to three 30-minute huddles daily plus documentation review time. Review's can be completed anytime, 24/7.
  • Remote with secure VA system access (encrypted email required).

Why Join Us?

  • Opportunity to contribute to veteran care quality through accurate documentation.
  • Collaborative team environment with VA physicians and TUWYN leadership.
  • Professional growth through exposure to federal healthcare standards and KPIs.


Benefits

This is Part Time and no benefits will be offered. 


Salary: $50 Per Review + $35/hr for Administrative tasks

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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