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Clinical Documentation Specialist (Acute Care)

Apply Job ID 1-40820 Date posted 08/21/2019 Location

Company Overview:

Nuance Communications, Inc. is the pioneer and leader in conversational AI innovations that bring intelligence to everyday work and life. The company delivers solutions that understand, analyze and respond to human language, amplifying human intelligence. With decades of domain and artificial intelligence expertise, Nuance works with thousands of organizations – in healthcare, telecommunications, automotive, financial services, retail, and more – to create stronger relationships and better experiences for their customers.

Join our Healthcare team...caring for clinicians the way they care for patients. Beyond words. We create technology that lets clinicians capture and document care quickly and easily so they can focus their attention on their patients

Job Summary:

Summary: Reporting to the Manager, Healthcare Consulting (Interim staffing), the Clinical Documentation Specialist will be responsible for providing CDS staffing services for clients. He/she will be responsible for improving documentation by identifying documentation improvement opportunities, based on medical record reviews. Under the guidance of the Manager, the Clinical Documentation Specialist is accountable for meeting a productivity and quality standard. The CDS is responsible for customer service to both the internal and external customers. Working within a goal driven environment is essential. Nuance provides a rigorous orientation and training program as well as a progression ladder/plan that allows for the consultants’ professional growth.


  • Reviews 8-10 new cases per day, conducting comprehensive medical record review for documentation completeness and accuracy, in addition to 12-15 follow-ups per day.
  • Demonstrates proficiency in the use of all Nuance CDI software applications.
  • Correctly identifies initial and possible DRG.
  • Identify documentation improvement opportunities to improve severity of illness and DRG.
  • Identifies documentation improvement opportunities by consistent use of software resources (decision trees, coding guidelines, references).
  • Correctly sequences DRG to reflect the highest level of severity when two or more diagnoses are present on admission and equally meet the definition of principal diagnosis.
  • Completes all required weekly, monthly, and quarterly CDI competencies, and education modules/offerings.
  • Generates compliant and clinically valid clarifications using Nuance best practices, to ensure documented conditions in the medical record are clinically valid, present on admission, consistent, and not conflicting.
  • Manages core measures and patient safety indicators when triggered during case review.
  • Utilizes process flow map for concurrent and post discharge CDI processes.
  • Represent Nuance in a professional manner always, upholding the core values of: integrity, innovation, time, results and Nuance corporate values.
  • Perform tasks related to securing and keeping the products, tools, and processes that you are responsible for securing.


Number of Years of Work Experience: 5

Required Skills: Travel 25%; CDI experience, customer facing skills, interpersonal skills, agility, problem-solving, and ability to collaborate with a team and client.  

Preferred Skills: Excel, leadership skills, presentation skills, experience developing others, quality assurance experience, CDI supervisor experience, 


RN Licensure:  active and unrestricted license in home state required.  If residing in a compact state, must have, or be eligible for, a compact license.  For a list of compact states, please visit

Additional Information:

Nuance offers a compelling and rewarding work environment. We offer market competitive salaries, bonus, equity, benefits, meaningful growth and development opportunities and a casual yet technically challenging work environment. Join our dynamic, entrepreneurial team and become part of our continuing success.  

Nuance Communication Inc.  is an equal opportunity employer.  We evaluate qualified applicants without regard to race, age, color, religion, sex, national origin, disability, veteran status, gender identity, sexual orientation and other legally protected characteristics. The EEO is the Law poster and its supplement is available here. If you need a reasonable accommodation because of a disability for any part of the employment process, please call 781-565-5086 – Human Resources Department and let us know the nature of your request and your contact information.


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