Registered Nurse (RN) - Clinical Documentation Specialist, 40 hours/week
Core
Conduct concurrent and retrospective medical record reviews to ensure accurate documentation of diagnoses and procedures, supporting HCC capture and regulatory compliance.
Role type
Registered Nurse (RN) Clinical Documentation Specialist
Builds
Accurate medical documentation supporting coding, reimbursement, and regulatory compliance
Domain
Healthcare / Clinical Documentation
Required skills
Medical terminology, Medical record review, Coding collaboration, Regulatory compliance knowledge, Microsoft Office proficiency
Preferred skills
Maine RN licensure, CCDS certification, CCS certification, Billing/coding experience
Responsibilities
Conduct concurrent and retrospective medical record reviews, Collaborate with coding staff to support accurate coding, Provide consultation and education on regulatory compliance, Assist with problem resolution for reimbursement and performance measures