Job Summary
The Clinical Nurse Documentation Analyst is responsible for reviewing patient records and drafting clinical summaries that accurately reflect the patient’s medical history, treatment plans, and progress. The Clinical Nurse Documentation Analyst will work independently and collaborate with clinical staff to ensure documentation is complete, consistent, and aligned with internal standards.
Essential Functions and Responsibilities include the following:
- Review and analyze electronic medical records to extract clinically relevant information for appeals and dispute resolution.
- Draft clear, concise, and medically accurate clinical summaries that reflect patient history, treatment, and outcomes.
- Translate complex medical documentation into structured narratives suitable for appeal and audit processes.
- Collaborate with clinical teams to clarify ambiguous or incomplete documentation.
- Ensure all written content meets internal quality standards and complies with regulatory guidelines.
- Maintain strict confidentiality and adhere to HIPAA and other applicable privacy regulations.
- Manage workload independently while meeting deadlines and maintaining accuracy.
- Stay current with clinical terminology, healthcare regulations, and payer requirements relevant to appeals.
- Other duties as assigned
Additional Job Requirements
- Regular scheduled attendance
- Indicate the percentage of time spent traveling – 20%
Subject to applicable laws and Air Method’s policies, regular attendance is an essential function of the position. All employees must follow Air Methods’ employment practices and policies.
Supervisory Responsibilities
This position has no supervisory responsibilities.
Qualifications
To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the essential functions of the position.
Education & Experience
- Graduate of an accredited School of Nursing with current RN license(s) for states of practice.
- Bachelor’s degree (BS/BA) in Nursing or health-related field from a four-year college or university preferred.
- Minimum of five (5) years of Emergency Department or critical care nursing experience within the last five years, or as required by state/local EMS regulations.
- Pre-hospital experience preferred.
- Minimum of three (3) years of experience in healthcare revenue cycle, claims resolution, or related field.
- Five (5) to eight (8) years of experience in claims processing, customer service, auditing, training, analysis, or operations.
- At least five (5) years of experience performing quality audits.
- Strong understanding of hospital reimbursement structures including PPO, HMO, Medicare, Medicaid, and other payer models.
- Thorough understanding of the claims process and healthcare payment models.
- Prior experience in clinical documentation, case management, or utilization review.
- Familiarity with Independent Dispute Resolution (IDR) processes and CMS regulations.
- Ability to participate in ongoing training and conferences to maintain current knowledge and practice.
- Understanding of project management principles and ability to collaborate across diverse teams.
Skills
- Excellent written and verbal communication skills.
- Strong analytical, reasoning, and organizational abilities.
- Ability to read complex medical records and translate them into appeal-related documentation.
- High level of professionalism and discretion when auditing the work of others.
- Strong leadership qualities including collaboration, independent judgment, conflict resolution, and adaptability.
- Ability to multi-task and prioritize in a fast-paced environment.
- Strong interpersonal skills and ability to work across departments.
- Ability to identify training opportunities and support remediation efforts.
- Deep understanding of medical terminology, coding, clinical workflows, and healthcare documentation standards.
- Ability to work independently with minimal supervision.
Computer Skills
- Advanced proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
- Proficiency in Electronic Health Record (EHR) systems and documentation platforms.
Certificates, Licenses, Registrations
- Non-restricted RN license
- CFRN preferred.
- Maintain all certifications of a flight crew member.
Note: This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the position.
Air Methods is an EEO/AA employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
