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Clinical Documentation Specialist RN

Remote · Portugal Full-time

• Fully remote

  • Clinical Documentation Specialist
  • $65hr
  • Day 5x8-Hour (08:00 - 16:30)
  • Required:

IL RN Successfully manages multiple priorities required. Computer skills with proficiency in Microsoft Word, Excel, Power Point, and Outlook e-mail required. Ensure effective communications with key stakeholders.

  • This role requires a nurse with CDI experience and knowledge of Epic and 3m 360 CAC.
  • Experience typically required for a CDS position includes:

Clinical Background- A strong inpatient nursing clinical foundation: ICU, Med-Surg, Tele/Cardiac, and Neuro CDI-Specific Skills

  • Experience reviewing inpatient documentation to identify gaps or conflicting information
  • Understanding of clinical indicators, disease processes, and treatment pathways
  • Ability to formulate compliant physician queries to clarify severity, type, acuity, or underlying conditions
  • Knowledge of how documentation impacts SOI/ROM, risk adjustment, and quality measures

Coding and DRG Knowledge

  • Working understanding of ICD-10-CM/PCS
  • Familiarity with MS-DRGs and APR-DRGs
  • Understanding how documentation drives reimbursement and publicly reported quality outcomes

Pay: $63.00 - $65.00 per hour Application Question(s):

  • ICU, Med-Surg, Tele/Cardiac, and Neuro CDI-Specific Skills
  • • Use of CDI software like CAC 3M 360 for workflow, reviews, and metrics
  • Illinois RN License

Work Location: Remote

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