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Clinical Documentation Specialist RN
Clinical Documentation Specialist RN-March 2024
Montana
Mar 28, 2026
About Clinical Documentation Specialist RN

  Description

  Clinical Documentation Specialist RN: Remote

  The Clinical Documentation Specialist (CDS) is responsible for supporting and facilitating the overall quality of medical record documentation by improving the completeness, accuracy, and reliability of clinical documentation. A key success factor of this process is educating providers through the query process and independently supporting them with education and feedback to accurately reflect the patient's true clinical picture within the medical record. In partnering with the coding team, the CDS will be an expert with ICD-10, MS-DRG and APR-DRG assignment.

  The CDS's primary responsibility will be to obtain appropriate clinical documentation through extensive review of provider, nursing, ancillary, and other patient caregivers' documentation, to ensure that appropriate documentation and reimbursement is received for the level of services rendered to patients. The CDS exercises their judgment and discretion to ensure the clinical information utilized in analyzing and reporting outcomes is complete and accurate. On an ongoing basis, the CDS is responsible for supporting the direction and focus of education for providers and the coding staff within their assigned scope of work. The CDS must exercise independent judgment, critical thinking, ability to work independently while interpreting and following CMS guidelines, organizational policies, and procedures.

  Providence caregivers are not simply valued – they’re invaluable. Join our team at Revenue Cycle Business Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

  Required Qualifications:

  Associate of Science in Nursing or

  Upon hire: Registered Nurse License

  5 years Clinical experience in acute care setting within the last 5 years OR 2-3 years Clinical Documentation Integrity experience

  Preferred Qualifications:

  Bachelor of Science in Nursing or a Bachelor of Science degree in healthcare or other related field (Foreign Medical Graduate)

  1 year understanding of MS-DRG and APR-DRG assignment and fundamentals of establishing a DRG

  1 year ICD-10 experience and/or understanding

  1 year Clinical Documentation Specialist experience in acute care setting

  Salary Range by location:

  NorCal (Napa, Sonoma)

  Min: $51.86, Max: $83.74

  Southern California, NorCal (Humboldt)

  Alaska (Kodiak, Seward, Valdez)

  Min: $46.22, Max: $74.64

  WA Puget Sound

  Oregon (Portland)

  Alaska (Anchorage)

  Min: $44.34, Max: $71.60

  Oregon (Hood River, Medford, Seaside)

  Min: $41.34, Max: $66.75

  Eastern Washington (Richland, Spokane, Walla Walla)

  Min: $39.46, Max: $63.71

  Montana

  Min: $35.70, Max: $57.65

  Texas

  Min: $33.82, Max: $54.61

  Why Join Providence?

  Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

  Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

  About Providence

  At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

  The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

  Check out our benefits page for more information about our Benefits and Rewards.

  About the Team

  Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

  Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

  Requsition ID: 248864

  Company: Providence Jobs

  Job Category: Documentation Management

  Job Function: Quality/Process Improvements

  Job Schedule: Full time

  Job Shift: Day

  Career Track: Nursing

  Department: 4001 SS RC CLIN DOCMENT SWR

  Address: CA Irvine 3345 Michelson Dr

  Work Location: Providence Health System Office-Irvine

  Pay Range: $See Posting - $See posting

  The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

  Check out our benefits page for more information about our Benefits and Rewards.

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