Hybrid Clinical Documentation Specialist

Advocate Health Care; Libertyville (IL); Hybrid; USD 85,000 - 110,000; Full time

Job summary

Advocate Health Care is seeking a Registered Nurse to lead Clinical Documentation Improvement initiatives in Lake County, IL. This hybrid role combines on-site and remote work, focusing on accurate documentation, coding guidelines, and regulatory compliance.

The position requires BSN, RN licensure, and at least 5 years of pediatric clinical experience with CDI exposure. Collaboration with physicians and coders is essential to ensure accurate patient representation.

Qualifications

• Must hold RN licensure in good standing.
• BSN from an accredited nursing program with 5 years pediatric clinical experience where applicable.
• Clinical documentation improvement experience preferred; coding knowledge is a plus.

Responsibilities

• Review daily medical records for documentation accuracy and completeness.
• Collaborate with physicians to clarify missing or conflicting documentation.
• Educate providers on documentation practices to reflect patient acuity and outcomes.
• Maintain and improve documentation standards compliant with regulations.
• Coordinate with coding staff to establish accurate DRGs and codes.

Skills

Clinical documentation improvement

Medical record analysis

Physician engagement and education

ICD coding and DRG knowledge

Regulatory compliance

Data analysis and reporting

Performance improvement methodologies

Communication and relationship管理

Critical thinking and problem-solving

Education

BSN from an accredited nursing program

5 years relevant pediatric clinical experience

Clinical documentation improvement experience preferred

Tools

DRG methodologies

Job description

Advocate Health Care is seeking a Registered Nurse to lead Clinical Documentation Improvement initiatives in Lake County, IL. This hybrid role combines on-site and remote work, focusing on accurate documentation, coding guidelines, and regulatory compliance.

The position requires BSN, RN licensure, and at least 5 years of pediatric clinical experience with CDI exposure. Collaboration with physicians and coders is essential to ensure accurate patient representation.