Clinical Documentation Specialist

Voted one of Chicago’s Best Places to Work by the Chicago Tribune for the eighth year in a row, Clarity Partners is hiring!

Clarity Partners is seeking a fully remote Clinical Documentation Specialist to improve the quality and completeness of clinical documentation in the legal medical record to support accurate coding, reimbursement, and patient acuity reporting. 

Responsibilities:

• Facilitate accurate and complete documentation in the medical record through close collaboration with physicians, Health Information Management (HIM), and coding staff to support appropriate reimbursement and the highest level of Severity of Illness (SOI) and Risk of Mortality (ROM).
• Educate physicians on clinical documentation requirements, coding and reimbursement updates, and documentation improvement opportunities on an ongoing basis.
• Apply clinical knowledge and understanding of medical terminology, procedures, and treatment pathways to evaluate medical records for completeness and accuracy.
• Perform concurrent reviews of inpatient (acute care) medical records to monitor diagnoses, treatments, and follow-up documentation; initiate queries to obtain missing or unclear information when needed.

Requirements:

• Must have at least one of the following: License to practice as a Registered Nurse preferred (any state) and Credentialed as a RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist).
• 1-year Acute Care (inpatient) Concurrent Clinical Documentation Specialist experience.
• CCDS (Certified Clinical Documentation Specialist - ACDIS) or CDIP (Certified Documentation Practitioner - AHIMA) credential required.

Clarity is committed to fair and equitable compensation practices. For the Clinical Documentation Specialist role, the base hourly pay range is $30.00 – $45.00/hr. The range represents a good faith estimate that Clarity reasonably expects to pay for this job at the time of posting. Compensation will depend upon an individual’s skills, experience, qualifications, location, and other relevant factors. The salary pay range is subject to change and may be modified at any time.