Clinical Documentation Specialist
Beaverton, Oregon
Providence Health & Services

Clinical Documentation Specialist

Job Overview

• Travel/contract RN role
• Remote work; candidate must be in the Pacific Time Zone
• Start date: ASAP
• Contract length: 13 weeks
• Schedule: Monday–Friday, 8:00 AM–5:00 PM
• Full time through October, with possible reduction in hours after October based on need
• First-time travelers accepted

Required Qualifications

• Valid RN license in Oregon
• Clinical Document Improvement Specialist (5 years of experience)
• Clinical Document Improvement Specialist experience within the last year
• BLS - Basic Life Support issued by American Heart Association or Heart and Stroke Foundation
• Associate of Science in Nursing / Associate Degree in Nursing
• 2 years of experience in managed care or workers' compensation insurance
• Utilization Review experience
• Case Management experience

Preferred Qualifications

• MSN
• 2 years of medical case management experience
• 2 years of experience in managed care or workers’ compensation insurance
• EPIC experience

Key Responsibilities

• Conduct utilization management and medical necessity reviews
• Develop, update, and interpret medical policies, protocols, and criteria
• Perform prospective and retrospective reviews of health service requests
• Coordinate case management, quality improvement, provider profiling, and benchmarking
• Communicate with physicians, medical directors, committees, providers, insurers, and internal teams
• Track disputed surgical cases and prepare litigation reports
• Document review findings, decisions, diagnoses, and procedures accurately
• Provide consultation and training to non-medical staff and clients
• Support quality committee work and provider education

Additional Notes

• Government-issued photo ID is required
• Employment application must include at least the last 5 years of employment
• Minimum of 2 references covering 1 year of employment total within the last 3 years in a comparable specialty/setting