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Documentation Specialist Rn Jobs (NOW HIRING)

Trinityhealth

$67K - $105K/yr

Great opportunity for a Clinical Documentation Specialist RN to work in an organization that focuses on treating the whole person, physically, emotionally andspiritually. We are seeking a Clinical ...

COMPASSUS

Clinical Documentation Specialist RN

Irvine, CA · Remote

$80K - $90K/yr

The Clinical Documentation Specialist works closely with the Manager of Quality Improvement and ... Required - 2 years Clinical Experience as a Registered Nurse * Required - 1 year Home Health ...

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As of Jun 4, 2026, the average hourly pay for documentation specialist rn in the United States is $24.23, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $27.40 per hour, depending on experience, location, and employer.
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Clinical Documentation Specialist

Centers Home

Pompano Beach, FL

$31.50 - $42.50/hr

Full-time

Posted 13 days ago

Job description

Job Title: Clinical Documentation Specialist (RN/LPN) – Full Time
Location: On-site – Staten Island, NY | Valley Stream, NY | Margate, FL
Schedule: Monday to Friday, 9:00 AM – 5:00 PM
Department: Clinical
Reports To: VP of Clinical Operations
Company: Revival Home Health Care

Position Summary:

Revival Home Health Care, a certified and respected home health agency, is seeking a dedicated Clinical Documentation Specialist (RN or LPN) to join our Clinical team. This is a full-time, on-site role responsible for auditing and reviewing patient charts to ensure compliance with all New York State Department of Health (DOH) regulations and standards, as well as internal clinical documentation policies and procedures.

Key Responsibilities:

Conduct detailed audits of clinical documentation for accuracy, completeness, and regulatory compliance

Review and validate OASIS assessments, visit notes, care plans, and physician orders

Ensure appropriate and accurate ICD-10 coding aligned with current home health guidelines

Identify documentation trends and collaborate with clinical staff to provide training and feedback

Support internal quality assurance and performance improvement initiatives

Generate audit reports and present findings to leadership for follow-up actions

Participate in team meetings to support clinical quality improvement efforts

Maintain up-to-date knowledge of DOH, CMS, and other relevant regulatory updates

Qualifications:

Active RN or LPN license in New York State or Florida

Minimum of 1 year of home health care experience

Strong knowledge of clinical documentation practices and standards

OASIS and ICD-10 coding experience strongly preferred

Exceptional attention to detail and analytical skills

Strong communication and interpersonal abilities

Proficiency in EMR systems and Microsoft Office Suite

Why Join Revival Home Health Care?

Join a mission-focused team dedicated to excellence in patient care

Work in a supportive and collaborative clinical environment

Gain professional development opportunities

Enjoy a competitive salary and full benefits package

Apply