Clinical Documentation Specialist
Department: Documentation Compliance
Location: 100% Remote (Can reside anywhere in the United States, but will be working on Eastern Standard Time)
Pay: Hourly position - $34.85 -52.29 (based upon applicable on the job experience)
Total Rewards and Benefits:
Join an organization that is committed to the principle that health care is a basic human right and that all Americans should have access to high-quality, comprehensive health care AWARD WINNING WORKPLACE! The Chelsea hospital is ranked among Newsweek’s best hospitals in the state of Michigan for 2025! Chelsea Hospital is nationally recognized for both quality of care and patient satisfaction and was named a Fortune/PINC 100 Top Hospital in 2023 and a Top Community Hospital by Becker’s Healthcare Review Competitive compensation, DAILYPAY Benefits effective Day One! No waiting periods. Full benefits package including Medical, Dental, Vision, PTO, Life Insurance, Short and Long-term Disability Retirement savings plan with employer match and contributions Opportunity for growth and advancement throughout Trinity Health Tuition ReimbursementPosition Purpose:
The Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator and consultant. Facilitates the overall quality, completeness, accuracy and integrity of medical record documentation through extensive record review.
Through extensive interaction with physicians and other members of the healthcare team, achieves appropriate clinical documentation to support code assignment, medical necessity, severity of illness, risk of mortality and level of services rendered to all patients. Participates in the development and delivery of education for providers and members of the healthcare team.
Shifts Available: Day Shift Monday-Friday (Eastern Time Zone)
Status available: Full-time, benefit eligible (80 hours per pay period – every two weeks)
Potential for working 4-10 hour shifts after completion of orientation (six months of employment)
Required Qualifications:
Must possess an Associate/Diploma Degree in Nursing, or Health Information Technology (HIT) OR and Advanced degree in nursing or medical field such as NP/APN or PA. Must possess one of the below:Current Registered Nurse License in the State of practice,Registered Health Information Administrator (RHIA),Registered Health Information Technician (RHIT),Certified Coding Specialist (CCS),licensure as a physician assistant (PA) or Nurse Practitioner/Advanced Practice Nurse (NP/APN) or completion of medical school. Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred.Two (2) years experience in Critical Care, Medical or Surgical Inpatient Care Nursing, as an RN, physician assistant (PA), nurse practitioner/advanced practice nurse (NP/APN), medical school graduate or as an inpatient coder preferred. Excellent communication (verbal and written), interpersonal, collaboration and relationship-building skills. Strong critical thinking skills and ability to integrate knowledge. Prioritization and organizational skills required. Effective presentation/facilitation skills to accomplish educational goals for all members of the healthcare team.Demonstrated ability to use a standard desktop and Windows based computer system, including a basic understanding of email, internet and computer navigation. Ability to use other software as required to perform the essential functions on the job. Experience with databases, spreadsheet software and presentation software preferred.Accurate data entry skills and typing skills at minimum 30 wpm.Click Here to learn more about the benefits, culture and career development opportunities available to you at Trinity Health Michigan.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.