USRN with Medical-Surgical: ICU, Telemetry & Emergency Department Experience

HRTX; Philippines; On-site; PHP 450,000 - 650,000; Full time

Job summary

HRTX seeks a USRN with Medical-Surgical experience including ICU, Telemetry and Emergency Department to lead documentation improvement efforts and ensure accurate coding throughout hospitalization.

You will review clinical documentation, collaborate with physicians and the CDI team, and provide ongoing education to enhance patient records and quality outcomes.

Qualifications

• Active PRC and USRN license.
• USRN license from compact state(s).
• 3–5 years clinical experience in medical-surgical areas; ICU, telemetry, Emergency Department.
• Knowledge about diagnoses, signs & symptoms, diagnostic tests and management for DM, HTN, CHF, CVA, sepsis, encephalopathy, AKI, CKD, etc.

Responsibilities

• Reviews clinical documentation to ensure it accurately reflects the patient's severity of illness, risk of mortality, and complexity of care.
• Shares review findings with leadership, CDI team, and other relevant staff; recommends corrective actions when needed.
• Performs focused reviews on areas like mortality rates, PSIs, and other priority projects.
• Provides ongoing education and training to the CDI team and related departments about documentation trends and best practices. Also leads the onboarding of new CDI specialists.
• Acts as a subject matter expert in CDI, coding rules, and compliance, identifying risks and opportunities for improvement.
• Applies coding guidelines and policies to assign accurate DRGs and reviews patient records throughout hospitalization to ensure proper coding.
• Collaborates with physicians to clarify unclear or missing documentation through queries or during rounds.
• Works with HIMS coders to ensure accurate diagnosis/procedure codes and complete documentation for final DRG assignment and quality outcomes.
• Builds and maintains strong relationships with providers to support documentation improvement efforts.
• Leads documentation improvement initiatives and participates in related department or organizational projects.

Skills

USRN license

PRC license

Compact-state license

Medical-surgical experience

Job description

USRN with Medical-Surgical: ICU, Telemetry & Emergency Department Experience

Job Openings USRN with Medical-Surgical: ICU, Telemetry & Emergency Department Experience

About the job USRN with Medical-Surgical: ICU, Telemetry & Emergency Department Experience

Requirements

• Active PRC and USRN License
• USRN License from Compact State/s
• Have 3 to 5 years of clinical experience in medical-surgical areas; ICU, telemetry, Emergency Department
• Knowledge about diagnoses, signs & symptoms, diagnostic tests and management expected for conditions such as DM, HTN, CHF, CVA, sepsis, encephalopathy, AKI, CKD, etc.

Key Responsibilities

• Reviews clinical documentation to ensure it accurately reflects the patient's severity of illness, risk of mortality, and complexity of care.
• Shares review findings with leadership, CDI team, and other relevant staff; recommends corrective actions when needed.
• Performs focused reviews on specific areas like mortality rates, patient safety indicators (PSIs), and other priority projects.
• Provides ongoing education and training to the CDI team and related departments about documentation trends and best practices. Also leads the onboarding of new CDI specialists.
• Acts as a subject matter expert in CDI, coding rules, and compliance, identifying risks and opportunities for improvement.
• Applies coding guidelines and policies to assign accurate DRGs and reviews patient records throughout hospitalization to ensure proper coding.
• Collaborates with physicians to clarify unclear or missing documentation through queries or during rounds.
• Works with HIMS coders to ensure accurate diagnosis/procedure codes and complete documentation for final DRG assignment and quality outcomes.
• Builds and maintains strong relationships with providers to support documentation improvement efforts.
• Leads documentation improvement initiatives and participates in related department or organizational projects.