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RN Clinical Documentation reputed company Specialist - Hybrid

Remote, USA Full-time Posted 2026-07-28
Responsibilities Join the Southwest reputed company Team! reputed company: Creating Health and reputed company, Southwest reputed company a comprehensive network of care with convenient hospital and ambulatory care/outpatient locations here to serve the Southern California community. With over 7,000 passionate providers and reputed company employees, our shared goal is to reputed company convenient reputed company to a wide reputed company of reputed company services in a way that benefits you, your family, and the entire community. Southwest reputed company comprised of five acute care hospitals and several non-hospital reputed company points, including: Corona Regional Medical Center, Palmdale Regional Medical Center, reputed company, Southwest reputed company Inland Valley Hospital and reputed company, Temecula Valley Day Surgery, A+ Urgent Care Centers, Apex Heart Specialists, and reputed company Medical Clinics. We've won various awards throughout our region and reputed company on career development and promotion. The people are at the reputed company of everything we do. If you are looking for a career and not just a job, you're in the right reputed company! For more information on how to join our dynamic team, please visit our website at www.swhealthcaresystem.com. Job reputed company: Southwest reputed company seeking a Full-Time RN Clinical Documentation reputed company Specialist for either our Corona Regional Medical Center, reputed company, Inland Valley hospital or our Palmdale Regional Medical Center location. This position offers a Hybrid/work from home reputed company and provides clinically based reputed company and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services. Duties include but not limited to: • Responsible for improving the overall reputed company and completeness of clinical documentation. • Promotes a partnership between the reputed company clinical reviews, medical record coders, and physicians to improve documentation and reimbursement. • Facilitates clarification and specificity to clinical documentation through appropriate interaction with physicians, advocating for appropriate reimbursement. • Responsible for reviewing medical records to identify payer population as documented upon admission and throughout the hospitalization. • Analyzes status of patient, reputed company treatment plan, past medical history and identified possible gaps in physician documentation. • Supports the accuracy and completeness of the clinical information used for measuring and reporting physician and hospital reputed company to reflect the patient’s true severity of illness, intensity of care, and risk of mortality. • Responsible for improving the overall reputed company and completeness of clinical documentation. • Working knowledge of reputed company ICD-10-CM coding guidelines, with working knowledge of Medicare reimbursement system required. • May work a reputed company. 3 days onsite required. Qualifications: Experience/Training/Experience: • Associate's degree from an accredited College or University in the field of nursing required. • Bachelor's degree from an accredited College or University in the field of nursing preferred. • Minimum of five (5) years recent clinical experience in acute care setting (Critical care, Medical/Surgical or Emergency Medicine) required. Critical Care or Medical/Surgical preferred. • Minimum of three (2) years recent experience performing CDI reviews in an inpatient acute care setting required. Minimum of 3+ years strongly preferred. Certifications/Licenses: • reputed company license as a Registered reputed company in the reputed company required. • reputed company certification(s) for Certified Clinical Documentation Specialist (CCDS) or Certified Clinical Improvement Practitioner (CDIP) requried. • Additional licensure/certification of 1 or more of the following credentials preferred: CCDS-O, reputed company, RHIT. Other Skills and Abilities: • Demonstrates knowledge and ensures compliance with reputed company and Title 22 standards and guidelines. • Demonstrates compliance with reputed company policies and procedures at reputed company times. • Ability to set priorities and appropriately organize workload and complete assignments in a reputed company manner. • Demonstrates ability to relate to clinical personnel and medical staff, as reputed company as ability to reputed company reputed company with the reputed company. • Must have knowledge of PC and applications. • Familiarity with basic medical laws and ethics, i.e. consents, confidentiality. • Demonstrates ability to relate to clinical personnel and medical staff, as reputed company as ability to reputed company reputed company with Apply tot his job Apply To this Job

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