Clinical Documentation Integrity RN | DRG & ICD-10 Expert

WakeMed Health & Hospitals; Raleigh (NC); On-site; USD 85,000 - 110,000; Full time

Job summary

WakeMed Health & Hospitals in Raleigh, NC seeks a Clinical Documentation Integrity Specialist to ensure accurate documentation for DRGs, ICD-10-CM/PCS, and HCCs. The role advises physicians and care teams to clarify documentation for compliant coding.

The ideal candidate is a Registered Nurse with a BSN and at least 2 years of acute care experience or 1 year in DRG analysis, supporting coding integrity while upholding AHIMA guidelines.

Qualifications

• Registered Nurse license required (NC).
• Bachelor's degree in Nursing required.
• 2 years clinical experience or 1 year DRG analysis experience required.

Responsibilities

• Maintain accurate, complete documentation to improve DRGs, SOI/ROM, and ICD-10 coding.
• Serve as a resource to physicians and healthcare team on documentation questions.
• Communicate with coding teams regarding documentation clarification and accurate coding.

Skills

Documentation integrity

Clinical education

Physician collaboration

Regulatory knowledge

Education

Bachelor's Degree Nursing

Job description

WakeMed Health & Hospitals in Raleigh, NC seeks a Clinical Documentation Integrity Specialist to ensure accurate documentation for DRGs, ICD-10-CM/PCS, and HCCs. The role advises physicians and care teams to clarify documentation for compliant coding.

The ideal candidate is a Registered Nurse with a BSN and at least 2 years of acute care experience or 1 year in DRG analysis, supporting coding integrity while upholding AHIMA guidelines.