Clinical Documentation Specialist III – Registered Nurse

Riverside Health

Clinical Documentation Specialist III responsible for assessing clinical documentation in medical records. Collaborating with healthcare providers to ensure accuracy and completeness of clinical information.

Posted 5/1/2026part-timeRemote • Florida, Idaho, Kansas, Kentucky, Mississippi, North Carolina, Oklahoma, South Carolina, South Dakota, Tennessee, Virginia • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Assesses clinical documentation through extensive review of the medical record
Interacts with providers, nursing staff, and coding staff to ensure appropriate reimbursement
Conducts post discharge reconciliation for comparative analysis of CDI specialist and final coding
Formulates appropriate clinical documentation clarifications
Works with providers and Advanced Practitioners to improve documentation
Participates in departmental education, training, and orientation sessions
Assists in overall quality and completeness of the health record

Requirements

What you’ll need

Associates Degree, Nursing (Required)
Bachelors Degree, Nursing or healthcare related (Preferred)
5-6 years Nursing experience, preferred pt care, critical care, utilization management, quality, or patient navigator (Required)
3-4 years CDI experience (Required)
Knowledge of ICD-10 and coding rules and regulations
Experience with 3M 360 or other encoder

Benefits

Comp & perks

Remote work eligible for candidates residing in specified states
Competitive pay structure
Professional development opportunities
Supports overall quality and completeness of clinical documentation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

ICD-10clinical documentation improvement (CDI)coding rulesmedical record reviewcomparative analysisdocumentation clarification

Soft Skills

interpersonal communicationcollaborationtrainingeducationquality assurance

Certifications

Associates Degree in NursingBachelors Degree in Nursing or healthcare related