Remote | Clinical Documentation Review Specialist -- $60-$90/hour
4 days ago
New York
Job Description We are sharing a specialised part-time consulting opportunity for professionals experienced in clinical documentation, medical scribing, CDI workflows, encounter notes, discharge summaries, EHR documentation, and structured healthcare documentation review. This role supports current and upcoming remote consulting opportunities focused on structured clinical documentation review, encounter note analysis, transitions-of-care documentation, CDI query assessment, EHR workflow review, and high-quality project execution. Selected professionals will apply their clinical documentation expertise to review realistic healthcare scenarios, evaluate documentation requirements, prepare structured written outputs, and support accurate, evidence-based clinical documentation tasks. Key Responsibilities Professionals in this role may contribute to: Encounter Documentation Review • Review clinical documentation scenarios involving SOAP notes, H&Ps, progress notes, encounter summaries, and source-supported clinical findings, • Evaluate encounter documentation against required elements, source materials, clinical note structure, and documentation standards, • Support structured review of patient history, exam findings, assessment details, plans, and progress documentation, • Review discharge summaries, transitions-of-care materials, medication reconciliation records, and required-field documentation, • Evaluate discharge documentation against source materials, medication lists, care instructions, follow-up requirements, and documentation criteria, • Support structured review of clinical summaries, medication reconciliation details, handoff materials, and continuity-of-care documentation, • Review CDI query scenarios involving documentation gaps, query framing, rule-based triggers, and clinical clarification workflows, • Evaluate CDI queries against documented facts, required wording standards, clinical context, and structured review criteria, • Support structured review of EHR documentation workflows using systems such as Epic, Cerner, or similar platforms Strong candidates may have: • 2+ years of experience as a medical scribe, CDI specialist, RN, NP, PA, clinical documentation specialist, medical records reviewer, or similar documentation-heavy healthcare professional, • Experience with one or more areas such as SOAP note preparation, H&P documentation, progress notes, discharge summaries, CDI query practice, medication reconciliation, or EHR documentation workflows, • Familiarity with EHR systems such as Epic, Cerner, Meditech, Athenahealth, eClinicalWorks, or similar healthcare documentation platforms, • Comfort reading and preparing clinical artifacts such as SOAP notes, H&Ps, progress notes, discharge summaries, CDI queries, encounter summaries, and medication reconciliation records, • Strong written communication skills and ability to explain clinical documentation reasoning clearly, • A degree or professional background in nursing, medicine, physician assistant studies, health information management, clinical documentation, medical assisting, healthcare administration, or a related field is helpful, • RN, NP, PA, RHIA, RHIT, CCS, CCDS, CDIP, medical scribe certification, or equivalent clinical documentation background, • Experience with CDI query development, discharge summaries, medication reconciliation, encounter note review, or transitions-of-care documentation, • Familiarity with Epic, Cerner, Meditech, Athenahealth, eClinicalWorks, or other EHR systems, • Experience preparing or reviewing SOAP notes, H&Ps, progress notes, discharge summaries, CDI queries, or clinical documentation packets, • Apply clinical documentation expertise to structured remote project work, • Contribute to high-quality encounter note review, discharge documentation assessment, CDI query analysis, and EHR workflow support, • Work on flexible, project-based assignments aligned with your professional background, • Use your clinical documentation judgment in a focused, detail-oriented consulting environment, • Independent contractor role, • Fully remote with flexible scheduling, • Part-time commitment depending on project availability, • Competitive rates between $60–$90 per hour depending on expertise, • Weekly payments via Stripe or Wise, • Projects may be extended, shortened, or adjusted depending on scope and performance This opportunity is available through 24-MAG LLC. We connect experienced professionals with remote consulting opportunities across technical, evaluation, and project-based workstreams. By submitting this application, you acknowledge that your information may be processed by 24-MAG LLC for recruitment and opportunity matching in accordance with our Privacy Policy:
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