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[Remote] Clinical Documentation Specialist - Remote (Must have CCDS OR CDIP)

Remote, USA Full-time Posted 2025-11-03
Note: The job is a remote job and is open to candidates in USA. Revolution Technologies is seeking a Clinical Documentation Specialist to enhance the quality and completeness of clinical documentation in medical records. The role involves collaborating with healthcare professionals to improve documentation practices and ensure appropriate reimbursement for services provided. Responsibilities • Facilitates necessary documentation in the medical record through extensive interaction with physicians, HIM and coding staff to ensure the most appropriate reimbursement and and highest level of SOI/ROM is achieved for the level of service rendered to all patients • Educates physicians regarding clinical documentation needs, changes to clinical documentation guidelines and coding and reimbursement opportunities on an on-going basis • Applies knowledge of medical terminology and procedures to evaluate clinical documents for documentation and reimbursement opportunities • Acute Care (inpatient) medical record monitoring (concurrent) of diagnoses, treatments, and follow-up entries in medical records to validate the accuracy of patient medical record documentation and diagnoses – obtaining missing information via a query when necessary Skills • Must have at least one of the following: License to practice as a Registered Nurse preferred (any state) • Must have at least one of the following: Credentialed as a RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist) • Must have all of the following: 3+ years Acute Care (inpatient) and Concurrent Clinical Documentation Specialist experience • CCDS (Certified Clinical Documentation Specialist - ACDIS) or CDIP (Certified Documentation Practitioner - AHIMA) credential required Company Overview • Revolution Technologies is a staffing and recruiting company that offers contract staff augmentation and permanent staffing solutions. It was founded in 1993, and is headquartered in Melbourne, Florida, USA, with a workforce of 1001-5000 employees. Its website is http://revolutiontechnologies.com. Apply tot his job Apply To this Job

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