For our client, we are seeking a Clinical Documentation Integrity Specialist to join the team of a leader in the Healthcare space. This role will focus on strengthening documentation accuracy, supporting denial prevention, and improving the integrity of clinical records across a complex healthcare environment. The specialist will collaborate closely with clinical teams, coding stakeholders, and other departments to ensure records are complete, compliant, and well-supported. This position also plays a key role in identifying denial trends, preparing evidence-based appeals, and promoting continuous improvement in documentation practices. Location: Remote - US based candidates only, no visa sponsorship available Compensation: $100,161 – $218,718 annually Responsibilities Review high-acuity patient records daily to identify payer denials Assess clinical validity and support denial prevention and appeals Communicate continuously with department staff and educate clinical personnel Partner with multiple departments to analyze and gather information Prepare and submit quality appeal letters based on clinical evidence Identify denial trends and root causes, providing feedback Ensure accuracy and completeness of clinical documentation Qualifications Bachelor's degree in a health-related field preferred Registered Nurse (RN) license or MD diploma required Minimum three years of Clinical Documentation Integrity experience, preferably at an AMC Knowledge of coding guidelines and Coding Clinic Understanding of laws and regulations regarding clinical documentation for Medicare and Medi-Cal Strong leadership and supervisory skills Proficient in EPIC and 3M 360 Encompass CAC, computer systems, and MS Office tools Benefits Fully remote work option Monday - Friday schedule with defined hours Indefinite employment duration Involvement in a dynamic team with various modalities Opportunities for continuous learning and professional development Collaboration with interdisciplinary teams to improve processes Our client is an equal opportunity employer. #J-18808-Ljbffr
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