Job Description

Job Title: Clinical Documentation Specialist

Location: Remote

Job Type: Full-time

Work Schedule: 9am – 5 pm EST

Job Summary:

We are seeking a detail-oriented Clinical Documentation Specialist to ensure that client notes comply with Local Coverage Determinations (LCD) guidelines. The ideal candidate will have a nursing degree and a strong understanding of clinical documentation best practices. This role involves reviewing medical notes, advising clients on compliance, and staying updated with evolving LCD guidelines.

Key Responsibilities:

  • Review client documentation to ensure compliance with LCD guidelines and other regulatory requirements
  • Provide guidance on best practices for clinical note-taking and documentation
  • Stay current with LCD policies, Medicare guidelines, and industry standards to ensure accuracy
  • Offer recommendations for improvement in documentation practices to enhance compliance and efficiency
  • Collaborate with healthcare professionals to address documentation deficiencies and implement necessary corrections
  • Assist in audits, reporting, and quality assurance initiatives related to clinical documentation

Requirements

  • Bachelor’s Degree in Nursing (BSN) or Associate Degree in Nursing (ADN) (Required)
  • Experience in insurance and billing
  • Strong knowledge of LCD guidelines, Medicare policies, and medical documentation
  • Experience in clinical documentation improvement (CDI), medical auditing, or compliance is a plus
  • Excellent attention to detail and ability to identify documentation gaps or errors
  • Strong communication skills to effectively educate and advise clients
  • Proficiency in EHR/EMR systems and medical documentation software

Benefits

  • Weekly Pay
  • Work From Home Opportunities
  • Easy Hiring Process