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).
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
Remote VA
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