Clinical Documentation Specialist Cds 3132624 I.Html

Seeking an experienced Clinical Documentation Specialist (CDS) for a full-time remote position, responsible for enhancing documentation integrity in inpatient care through record review, education, and consultation while ensuring compliance with documentation standards.

##### Key responsibilities

Conduct extensive reviews of patient health records to ensure clarity, completeness, and accuracy of clinical documentation

Communicate and educate healthcare providers on documentation requirements and monitor engagement for improvement

Collaborate with coding staff to ensure comprehensive documentation of diagnoses and resolve discrepancies in a professional manner

##### Required qualifications

Associate/Diploma Degree in Nursing or Health Information Technology (HIT), or an advanced degree in a medical field

Current Registered Nurse License, RHIA, RHIT, CCS, or licensure as a PA/NP/APN

Preferred Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP)

* Two years of experience in Critical Care, Medical or Surgical Inpatient Care Nursing, or as an inpatient coder