Clinical Documentation Specialist
virtual vocationsDenver (CO)
Clinical Documentation Specialist
Posted today
virtual vocationsDenver (CO)
Health Information Technologists and Medical RegistrarsAll Other Miscellaneous Ambulatory Health Care Services
SENIORITY
Senior
About the role
To support clinical documentation improvement efforts, the full-time Clinical Documentation Specialist will conduct comprehensive chart reviews, collaborate with healthcare professionals to ensure accurate documentation, and initiate physician queries as needed, all while working remotely.
Key responsibilities:
Perform daily, concurrent reviews of inpatient records to ensure accurate documentation for coding compliance
Collaborate with coders and other healthcare staff to identify documentation gaps and initiate queries for clarification
Update and maintain working DRG assignments based on documentation and physician responses
Required qualifications:
University degree with 2-4 years of relevant experience; graduate-level education may be required for some roles
Current RN, MD, or equivalent certification (MBBS), or CCS credential
4+ years of direct patient care experience in inpatient settings, critical care, or strong med-surg experience
2+ years of prior clinical documentation improvement (CDI) experience
Familiarity with encoder and DRG assignment, along with knowledge of official coding guidelines
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.