Clinical Documentation Specialist (remote)

Northeastern Nevada Regional Hospital – Clinical Documentation Specialist 

Please note: this is a remote position open to candidates who reside in NV, WA, OR, MT, AZ, NM, UT, CO or TN. Our fully remote employees are required to have reliable internet service and working hours may revolve around Pacific Standard Time. 

Pay for this role starts at $30.20/hr and increases based on experience. 

Who We Are:

People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Northeastern Nevada Regional Hospital is a 75-bed facility located in Elko, Nevada. We offer a wide range of healthcare services, including emergency medicine, heart care, maternity care, sleep medicine, surgical services, and more. We are recognized by the American College of Cardiology as an accredited Chest Pain Center. We believe that health care should be effective, safer, and more available to all people. We are committed to providing our patients with the highest quality, family-friendly care available.

Where We Are:

Elko is the largest city of Elko County, Nevada. Located near the Lamoille Canyon and the Ruby Mountains, Elko is called the Swiss Alps of Nevada. Here you’ll find year-round access to recreation and more than 20 alpine lakes. The city’s economy is heavy with gold mining, ranching, tourism, and casinos. The entertainment capital of the world, Las Vegas, Nevada is located approx. six hours away. With us is where you want to be.

Why Choose Us:

• Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
• Competitive Paid Time Off / Extended Illness Bank package for full-time employees
• Employee Assistance Program – mental, physical, and financial wellness assistance
• Tuition Reimbursement/Assistance for qualified applicants
• Professional Development and Growth Opportunities
• And much more…

Position Summary: Northeastern Nevada Regional Hospital is looking for a Clinical Documentation Specialist to work in our busy Health Information Management Department. This role facilitates improvement in the overall quality, completeness, and accuracy of clinical documentation. Through concurrent interaction with physicians, case managers, coders and other health care team members, the Clinical Documentation Specialist, will strive to ensure comprehensive medical record documentation that reflects the clinical treatment, decisions, and diagnosis for all inpatients. Serving as a resource to all members of the health care team on documentation guidelines, this position will provide guidance and support, as well as assist with education and training related to improving clinical documentation.

Please note: this is a remote position open to candidates who reside in NV, WA, OR, MT, AZ, NM, UT, CO or TN. Our fully remote employees are required to have reliable internet service and working hours may revolve around Pacific Standard Time. 

Pay for this role starts at $30.20/hr and increases based on experience. 

Additional responsibilities include:

• Conducting daily reviews of inpatient medical records to identify missing, vague, and/or incomplete diagnoses and procedures. Conducting timely follow-up reviews of clinical documentation to ensure that issues discussed, and queries left in the medical record have been answered by the provider.
• Utilizing coding and clinical expertise to identify opportunities and ensure the accuracy and completeness of clinical documentation used for measuring and reporting physician and hospital outcomes.
• Querying physicians on specificity of procedures performed and diagnoses based on accepted coding guidelines, clinical expertise and LifePoint Hospitals query policy.
• Tracking specific opportunities for CDI process improvement through the utilization of metrics reports.
• Conducting educational sessions with physicians and other health care team members on documentation requirements.

Minimum Qualifications

• Minimum Experience: 3 years of healthcare experience required
• Minimum Education: Associate’s degree or higher in Nursing, or certification in RHIA, RHIT, CCS, or combination thereof required
• Graduate of a program in discipline preferred
• Bachelor’s degree preferred

EEOC Statement:

Northeastern Nevada Regional Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status, or any other basis protected by applicable federal, state, or local law.

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

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