Clinical Documentation Specialist RN - *Remote

Providence • Portland, OR

393d • $94,058 - $148,886 • Remote

About The Position

The Clinical Documentation Specialist RN is a remote position focused on enhancing the quality, completeness, and accuracy of medical record documentation. This role involves analyzing clinical information to identify gaps in physician documentation, ensuring that patient records are comprehensive and meet regulatory standards. The position is part of a regional team dedicated to improving documentation practices within the healthcare system.

Requirements

• Bachelor's Degree in Nursing or equivalent (MD graduate accepted).
• Unencumbered Registered Nurse License upon hire.
• 5 years of recent acute care experience in adult acute, critical care, or medical/surgical settings.
• Demonstrated clinical experience with a variety of patient populations.
• Strong verbal and written communication skills.

Nice To Haves

• Master's Degree in Nursing.

Responsibilities

• Analyze clinical information to identify gaps in physician documentation.
• Facilitate improvement in the quality and accuracy of medical record documentation.
• Collaborate with healthcare providers to enhance documentation practices.
• Ensure compliance with regulatory standards for medical records.
• Communicate effectively with physicians, nursing staff, and hospital management.

Benefits

• 401(k) Savings Plan with employer matching
• Health care benefits (medical, dental, vision)
• Life insurance
• Disability insurance
• Paid parental leave
• Vacation and holiday time off
• Voluntary benefits
• Well-being resources

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: Bachelor's degree
• Number of Employees: 10,001+ employees