Working from home in Pennsylvania, the full-time salaried Pennsylvania Licensed Clinical Documentation Specialist will act as a liaison between clinical and coding functions, providing education on documentation processes and optimizing clinical documentation to support accurate coding and billing.
Key responsibilities: Review inpatient medical records within 24-48 hours of admission to evaluate documentation for accurate diagnosis and procedure assignments Formulate queries for missing or unclear documentation and provide ongoing education to healthcare providers on documentation improvement Collaborate with interdisciplinary teams to resolve documentation queries and ensure accurate coding prior to patient discharge
Required qualifications: Licensed Registered Nurse (Pennsylvania) Minimum of three (3) years of nursing experience Graduate from a Specialty Training Program in Nursing (required); BSN preferred Understanding of Anatomy and Physiology Experience with medical records systems and clinical documentation improvement processes

Also on the board Same function, level within a rung

Level

Senior

Location

Denver, CO

Occupation

Health Information Technologists and Medical Registrars

Industry

General Medical and Surgical Hospitals

Posted

today

Apply for this role →