Clinical Documentation Nurse (RN) - CDI Specialist

Healthcare Support Staffing; Moreno Valley (CA); On-site; USD 75,000 - 90,000; Full time

Benefits offered by this job

Excellent pay

Opportunity at a large local hospital system

Immediate hiring

Job summary

A national healthcare recruiting firm is seeking a Clinical Documentation Specialist - Registered Nurse in Moreno Valley, California. The role involves reviewing in-house Medicare cases and ensuring accurate clinical documentation. Candidates must have clinical experience in an acute care setting and knowledge of ICD-9 CM & CPT-4 coding. Excellent pay and immediate hiring opportunity at a large local hospital system. Join a dedicated team to improve documentation practices and achieve quality goals.

Qualifications

• Clinical experience in an acute care environment is required.
• Experience in nursing health information or clinical documentation is required.
• Ability to analyze large amounts of data is essential.

Responsibilities

• Review in-house Medicare cases and identify working DRG using the 3M encoder.
• Ensure patient record contains clear and accurate clinical documentation.
• Work with physician clinical documentation and coding processes.

Skills

Knowledge of diagnoses/procedures according to ICD-9 CM & CPT-4

Problem-solving ability

Ability to multi-task

Proficient computer skills

Education

Current CDI certification (must obtain within 18 months)

Tools

Charting software

MS Office Suite

Lotus Notes

Job description

A national healthcare recruiting firm is seeking a Clinical Documentation Specialist - Registered Nurse in Moreno Valley, California. The role involves reviewing in-house Medicare cases and ensuring accurate clinical documentation. Candidates must have clinical experience in an acute care setting and knowledge of ICD-9 CM & CPT-4 coding. Excellent pay and immediate hiring opportunity at a large local hospital system. Join a dedicated team to improve documentation practices and achieve quality goals.