CDI Nurse: Clinical Documentation Specialist

Jobtome; Belen (NM); Sur place; USD 70 000 - 100 000; Plein temps

Avantages offerts par ce poste

Sign-On Bonus Available

Relocation Assistance Available

Résumé du poste

Jobtome seeks an RN for the HIM Clinical Documentation department in New Mexico. The role focuses on concurrent review of documentation to support diagnoses, DRG assignments, and severity of illness, while communicating findings and queries to physicians and staff. No direct patient care is involved.

Qualified candidates have NM licensure, at least 1 year in documentation improvement, and a related nursing program background. Relocation and sign-on benefits may be available.

Qualifications

• RN licensed in NM or eligible per NM reciprocity.
• 1 year directly related experience in documentation improvement.
• Program graduate with nursing credentials and licensure.
• Bachelor's degree preferred; program graduate required.

Responsabilités

• Review and record principal and secondary diagnoses, procedures, and MS-DRG assignments.
• Perform concurrent review during hospitalization and track documentation quality.
• Communicate findings to physicians and care teams via queries and verbal updates.
• Utilize documentation abstraction software for coding and reporting tasks.
• Provide training to providers on clinical documentation improvements as indicated.

Connaissances

Attention to detail

Communication

HIPAA compliance

Formation

Program Graduate

Bachelor's Degree

Nationally Accredited Nursing Graduate

Description du poste

Jobtome seeks an RN for the HIM Clinical Documentation department in New Mexico. The role focuses on concurrent review of documentation to support diagnoses, DRG assignments, and severity of illness, while communicating findings and queries to physicians and staff. No direct patient care is involved.

Qualified candidates have NM licensure, at least 1 year in documentation improvement, and a related nursing program background. Relocation and sign-on benefits may be available.