Clinical Documentation Specialist (RN) – Elevate Care & Compliance

Nacogdoches Medical Center; Nacogdoches (TX); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) match

Paid time off

Career development

Health savings account

Employee discounts

Voluntary benefits

Job summary

Nacogdoches Medical Center seeks a Clinical Documentation Specialist (RN) to perform concurrent and retrospective reviews of inpatient Medicare records, ensuring accurate documentation of patient complexity and appropriate coding for reimbursement.

The role supports quality reporting and improves physician documentation to reflect severity of illness and risk of mortality, contributing to compliant reimbursement and optimal care outcomes.

Qualifications

• Current, valid RN license and relevant education.
• Three years of clinical experience in an acute care setting.
• RN licensure and Licensed Masters Social Worker are required.
• FLSA status: Exempt.

Responsibilities

• Perform concurrent and retrospective reviews of inpatient Medicare records.
• Facilitate physician documentation to reflect severity of illness and risk of mortality.
• Support reporting of care quality outcomes and accurate reimbursement.

Skills

Concurrent & retrospective reviews

Documentation improvement

Quality reporting & reimbursement

Certifications due by 3 months

Education

RN license

Job description

Nacogdoches Medical Center seeks a Clinical Documentation Specialist (RN) to perform concurrent and retrospective reviews of inpatient Medicare records, ensuring accurate documentation of patient complexity and appropriate coding for reimbursement.

The role supports quality reporting and improves physician documentation to reflect severity of illness and risk of mortality, contributing to compliant reimbursement and optimal care outcomes.