Obstetrics​/Newborn​/Pediatrics Clinical Documentation Specialist PRN

Employer Industry: Healthcare

• Opportunity for career advancement and growth within the organization
• Work remotely anywhere within the United States
• Supportive and collaborative work environment
• Chance to make a positive impact on patient care and documentation accuracy
• Comprehensive training and resources provided to enhance professional development

• Review clinical documentation during patient admissions to identify opportunities for improvement and communicate findings to physicians
• Conduct follow-up reviews to ensure accurate clinical documentation is recorded in patient charts
• Perform medical record reviews to facilitate improvement in documentation quality and ensure compliance with coding and reimbursement standards
• Submit electronic queries to clinicians for complete and accurate records
• Maintain daily, weekly, and monthly metrics and participate in required meetings and training sessions

• Associate's degree in nursing, completed degree from an accredited medical school, or Bachelor's degree in a healthcare-related program
• Certification as a Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) required within six months of hire
• Minimum of 1 year of experience as a Clinical Documentation Specialist (CDS) in an acute care setting
• Minimum of five years of healthcare experience
• Strong understanding of disease processes and clinical documentation requirements

• Current active coding credential from AHIMA or AAPC, such as Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)
• Prior experience as a CDI/Coding auditor
• Experience in inpatient case management or utilization review

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

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