CLINICAL DOCUMENTATION SPEC II in Baltimore, Maryland at LifeBridge Health

100% REMOTE WORK OPPORTUNITY

Eligible remote locations: Alaska, Arizona, Arkansas, District of Columbia, Florida, Georgia, Idaho, Illinois, Louisiana,
Maryland, Mississippi, Montana, Nebraska, Nevada, New Mexico, North Carolina, North
Dakota, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah,
Virginia, West Virginia, Wisconsin, and Wyoming

LifeBridge Health is a dynamic, purpose-driven health system committed to redefining care delivery across the Mid-Atlantic and beyond. Guided by our mission to “improve the health of people in the communities we serve,” we are dedicated to expanding health access, enhancing patient experiences, and fostering a culture that values bold ideas and community-centered care.

The Health Information Management Department supports the mission and goals of Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale, and Grace Medical Center by ensuring timely and appropriate access to health information to support continuity of care and authorized requests.

Key Responsibilities

• Facilitate improvements in the overall quality and completeness of medical record documentation.

• Collaborate extensively with providers to obtain appropriate and accurate clinical documentation.

• Conduct in-depth reviews of assigned cases involving Maryland Hospital-Acquired Conditions (MHACs) and ICD-10 code-related quality indicators.

Education & Experience:

• Bachelor’s degree or equivalent professional knowledge.

• 5+ years of clinical experience as a Registered Nurse (RN), Physician Assistant (PA), or Medical Doctor (MD).

• 5–7 years of relevant healthcare experience, with demonstrated expertise in clinical documentation improvement.

Certifications:

• Active Maryland license as an RN, PA, or MD.

• Clinical Documentation Improvement certification (CDIP or CCDS) with 2–5 years of CDI-specific experience.