Clinical Documentation Support Specialist

TridentCare

Clinical Documentation Support Specialist responsible for thorough medical record reviews to support compliance audits and ongoing monitoring at TridentCare.

Posted 5/6/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $57,400 per yearWebsite

About the role

Key responsibilities & impact

Completes patient medical record reviews to support compliance audits, organizational risk assessments, and ongoing monitoring activities.
Responsible for reviewing and determining that supporting documentation demonstrates performance of medically necessary services.
Supports random and focused pre-payment and post payment audits in the review of patient medical records.
Completes medical record reviews in a timely manner.
Assists to ensure all possible efforts are made to obtain appropriate internal and external patient medical record documentation to support the services provided and billed.
Supports the tracking of medical documentation received, outbound requests, and ensures all necessary information is obtained (where they exist).
Follows related policies and procedures and escalates where appropriate.
Assists in medical review related customer chart documentation trend analysis for outreach training and education opportunities.
Ensures all reasonable efforts are made to obtain appropriate external medical record documentation to support the services in question.
Ensures medical record documentation received is recorded appropriately and aids in the management of outbound documentation requests.
Assists Senior Clinical Specialist with other areas of responsibility as requested.

Requirements

What you’ll need

Excellent knowledge of medical terminology and clinical documentation.
Strong oral, written and interpersonal communication skills.
Excellent organizational and attention to detail skills required.
Able to effectively prioritize, research, trouble-shoot, and problem solve.
Must have ability to manage multiple and competing priorities.
Team player who is able to prioritize, work well under pressure, readily adapt to change, and excel in a productivity based environment.
Ability to concentrate on highly detailed work despite frequent interruptions and work effectively with minimal supervision.
Bachelor’s degree required.
Five years or more related experience may substitute for bachelor’s degree.
Experience in medical terminology and documentation review is preferred.
Experience with healthcare billing system solutions and Microsoft Office required.
Experience with government and other third party payers required.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account TridentCare Website LinkedIn All Job Openings 1001 - 5000 employees 🤝 B2B B2B <TridentCare> TridentCare is a national provider of mobile and on-site diagnostic healthcare services, delivering digital X‑ray, ultrasound, EKG, laboratory/phlebotomy, and vascular access (PICC) services directly to patients in skilled nursing facilities, assisted living and hospice, at-home settings, correctional/behavioral facilities, government agencies, and commercial sites. The company emphasizes licensed, certified clinicians, strict regulatory accreditations (ACR, CLIA, CAP, COLA), and technology-enabled workflows via its TridentConnect EMR integrations and HITRUST‑certified platforms to streamline diagnostics and protect patient data. TridentCare partners primarily with healthcare providers and agencies to expand access, improve operational efficiency, and maintain continuity of care. Clinical Documentation Support Specialist 🔥 2 minutes ago 🇺🇸 United States – Remote 💵 $57.4k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥📝 Medical Writer Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Completes patient medical record reviews to support compliance audits, organizational risk assessments, and ongoing monitoring activities.
Responsible for reviewing and determining that supporting documentation demonstrates performance of medically necessary services.
Supports random and focused pre-payment and post payment audits in the review of patient medical records.
Completes medical record reviews in a timely manner.
Assists to ensure all possible efforts are made to obtain appropriate internal and external patient medical record documentation to support the services provided and billed.
Supports the tracking of medical documentation received, outbound requests, and ensures all necessary information is obtained (where they exist).
Follows related policies and procedures and escalates where appropriate.
Assists in medical review related customer chart documentation trend analysis for outreach training and education opportunities.
Ensures all reasonable efforts are made to obtain appropriate external medical record documentation to support the services in question.
Ensures medical record documentation received is recorded appropriately and aids in the management of outbound documentation requests.
Assists Senior Clinical Specialist with other areas of responsibility as requested. 🎯 Requirements
Excellent knowledge of medical terminology and clinical documentation.
Strong oral, written and interpersonal communication skills.
Excellent organizational and attention to detail skills required.
Able to effectively prioritize, research, trouble-shoot, and problem solve.
Must have ability to manage multiple and competing priorities.
Team player who is able to prioritize, work well under pressure, readily adapt to change, and excel in a productivity based environment.
Ability to concentrate on highly detailed work despite frequent interruptions and work effectively with minimal supervision.
Bachelor’s degree required.
Five years or more related experience may substitute for bachelor’s degree.
Experience in medical terminology and documentation review is preferred.
Experience with healthcare billing system solutions and Microsoft Office required.
Experience with government and other third party payers required. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs RN Specialist, Clinical Documentation 🔥 1 hour ago Denver Health 5001 - 10000 ⚕️ Healthcare Insurance 🤝 Non-profit 📡 Telecommunications Website LinkedIn All Job Openings RN Specialist for Clinical Documentation at Denver Health ensuring accurate medical documentation. Collaborating with healthcare teams in a fully remote role for residents in Colorado. 🇺🇸 United States – Remote 💵 $82.5k - $127.9k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥📝 Medical Writer 🦅 H1B Visa Sponsor RN Educator, Clinical Documentation Integrity 🔥 1 hour ago Denver Health 5001 - 10000 ⚕️ Healthcare Insurance 🤝 Non-profit 📡 Telecommunications Website LinkedIn All Job Openings RN Educator enhancing clinical documentation integrity at Denver Health, requiring strong nursing and CDI experience. Focus on education and training for improved documentation quality and compliance. 🇺🇸 United States – Remote 💵 $85.6k - $132.6k / year ⏰ Full Time 🟠 Senior 🔴 Lead 🏥📝 Medical Writer 🦅 H1B Visa Sponsor Clinical Documentation Specialist 🔥 1 hour ago Trinity Health 10,000+ employees 📚 Education 🤝 Non-profit 🌍 Social Impact Website LinkedIn All Job Openings Clinical Documentation Specialist ensuring integrity of clinical documentation through review, education, and consultation at Trinity Health. Facilitating quality, completeness, and accuracy of medical records across teams and systems. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥📝 Medical Writer 🦅 H1B Visa Sponsor Medical Writer 🕒 Yesterday Telix Pharmaceuticals Limited 501 - 1000 🧬 Biotechnology 💊 Pharmaceuticals ⚕️ Healthcare Insurance Website LinkedIn All Job Openings Medical Writer at Telix Pharmaceuticals leading writing process for clinical and regulatory documents. Collaborating with teams to ensure high-quality documentation for drug development projects. 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥📝 Medical Writer Manager, RN – Clinical Documentation Improvement 🕒 4 days ago SSM Health 10,000+ employees ⚕️ Healthcare Insurance Website LinkedIn All Job Openings Clinical Documentation Improvement Manager overseeing operations and promoting standardized documentation practices. Collaborating with clinical professionals to enhance patient documentation and coding accuracy. 🇺🇸 United States – Remote 💰 Debt Financing on 2019-11 ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥📝 Medical Writer 🦅 H1B Visa Sponsor View More Medical Writer Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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Hard Skills & Tools

medical record reviewcompliance auditsclinical documentationdocumentation trend analysishealthcare billing systemsmedical terminologyperformance of medically necessary servicespre-payment auditspost-payment auditsrisk assessments

Soft Skills

oral communicationwritten communicationinterpersonal communicationorganizational skillsattention to detailprioritizationtrouble-shootingproblem solvingteam playeradaptability