RN Clinical Documentation Specialist

Banner Health

. Facilitate improvement in the overall quality and completeness of provider-based clinical documentation in medical records .

Posted 11/2/2026full-timeRemote • United StatesJuniorMid-Level💰 $38 - $63 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in clinical documentation improvement, ensuring accuracy in medical records and compliance with DRG requirements. Possesses strong communication and critical thinking skills to educate providers and manage interdisciplinary interactions effectively.

Highest-signal resume keywords

Registered Nurse (RN) LicenseClinical Documentation ImprovementDRG KnowledgeAcute Clinical Care ExperienceCritical Thinking

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Documentation ReviewProvider Documentation ClarificationConcurrent Record ReviewsDatabase ManagementPatient Care Complexity Assessment

Soft Skills

Communication SkillsTime ManagementProblem-Solving AbilitiesInterdisciplinary Team CollaborationSelf-Motivation

Tools & Technologies

Software Applications for DocumentationClinical Documentation Database

Certifications & Qualifications

Registered Nurse (RN) License

Industry Keywords

Medical RecordsDRGSeverity of IllnessRisk AdjustmentHealthcare Compliance

About the role

Key responsibilities & impact

Facilitate improvement in the overall quality and completeness of provider-based clinical documentation in medical records
Assist treating providers in ensuring documentation accurately reflects DRG, severity of illness, risk of mortality, risk adjustment, and complexity of patient care
Review medical records and clarify documentation ambiguities
Provide subject matter expertise on DRG and clinical documentation opportunities and requirements
Liaise between acute care coding and providers to capture accurate DRG, reimbursement, and patient-care complexity
Conduct accurate and timely concurrent record reviews using specialized training and software
Formulate clinically credible and compliant provider documentation clarification queries
Maintain accurate and complete clinical documentation database entries and case reconciliation
Ensure accuracy of clinical information used for provider and facility outcome reporting
Educate clinicians and facility management through presentations and reports
Work independently in a remote model with multi-facility/entity responsibility
Interact extensively with providers, HIMS professionals, nursing, and ancillary staff

Requirements

What you’ll need

Registered Nurse (RN) license in state of residence
Strong knowledge of clinical care, normally obtained through completion of a bachelor’s degree in nursing
Two years of acute clinical care experience
Ability to interface with multiple software applications
Ability to work independently
Demonstrated critical thinking and problem-solving abilities
Communication and time management skills
Ability to work effectively in an interdisciplinary team format
Must live in one of the following states: Alaska, Alabama, Arkansas, Arizona, California, Colorado, Florida, Georgia, Iowa, Idaho, Indiana, Kansas, Kentucky, Michigan, Minnesota, Missouri, Mississippi, North Carolina, North Dakota, Nebraska, New Mexico, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, or Wyoming
Must work at least 75% of shift within 7AM to 7PM AZT/MST
Candidates must be self-motivated and possess moderate to strong tech skills
Must be able to meet daily and weekly productivity metrics

Benefits

Comp & perks

Health and financial security options
Fully remote work
Monday-Friday, 8-hour shifts
No weekends or holidays