Clinical Nurse Documentation Analyst
Air Methods
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $41 - $50 per hour
Job Level
Mid-LevelSenior
About the role
- Review and analyze electronic medical records to extract clinically relevant information for appeals and dispute resolution.
- Draft clear, concise, and medically accurate clinical summaries that reflect patient history, treatment, and outcomes.
- Translate complex medical documentation into structured narratives suitable for appeal and audit processes.
- Collaborate with clinical teams to clarify ambiguous or incomplete documentation.
- Ensure all written content meets internal quality standards and complies with regulatory guidelines.
- Maintain strict confidentiality and adhere to HIPAA and other applicable privacy regulations.
- Manage workload independently while meeting deadlines and maintaining accuracy.
- Stay current with clinical terminology, healthcare regulations, and payer requirements relevant to appeals.
Requirements
- Graduate of an accredited School of Nursing with current RN license(s) for states of practice.
- Bachelor’s degree (BS/BA) in Nursing or health-related field preferred.
- Minimum of five (5) years of Emergency Department or critical care nursing experience within the last five years, or as required by state/local EMS regulations.
- Pre-hospital experience preferred.
- Minimum of three (3) years of experience in healthcare revenue cycle, claims resolution, or related field.
- Five (5) to eight (8) years of experience in claims processing, customer service, auditing, training, analysis, or operations.
- At least five (5) years of experience performing quality audits.
- Strong understanding of hospital reimbursement structures including PPO, HMO, Medicare, Medicaid, and other payer models.
- Thorough understanding of the claims process and healthcare payment models.
- Prior experience in clinical documentation, case management, or utilization review.
- Familiarity with Independent Dispute Resolution (IDR) processes and CMS regulations.
- Ability to participate in ongoing training and conferences to maintain current knowledge and practice.
- Understanding of project management principles and ability to collaborate across diverse teams.
Benefits
- Health insurance
- Professional development opportunities
- Flexible work arrangements
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical documentationclaims processingquality auditshealthcare revenue cyclemedical record analysisclinical summaries draftingpatient history documentationappeal processesutilization reviewIndependent Dispute Resolution (IDR)
Soft skills
collaborationcommunicationattention to detailindependent workload managementtime managementproblem-solvingclarification of documentationconfidentialityaccuracyadaptability
Certifications
RN licenseBachelor’s degree in Nursinghealth-related field degree