Inpatient CDI RN: Clinical Documentation Specialist

Tucson Medical Center; Tucson (AZ); Hybrid; USD 90,000 - 110,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Tucson Medical Center seeks an experienced RN Clinical Documentation Integrity Specialist to perform concurrent reviews of inpatient records, ensuring accurate diagnoses and appropriate level of care. You will query physicians when needed and collaborate with coding/HIM/UR to reflect patient acuity.

Requirements include a nursing degree, Arizona RN licensure, and 3 years of acute care RN experience; CDI experience is preferred.

Qualifications

• Graduation from a qualified nursing program.
• Minimum 3 years RN clinical experience in an acute care setting; CDI experience preferred.
• Current Arizona RN licensure; CCDS or CDIP preferred.

Responsibilities

• Conduct concurrent inpatient reviews to clarify documentation for acuity and level of care.
• Build rapport with providers to obtain clarifying documentation and follow up on queries.
• Educate physicians on documentation importance during meetings.
• Use management data to identify areas for improvement and actions.
• Uphold TMCH values and safety standards; perform related duties as assigned.

Skills

Clinical knowledge

Critical thinking

Age-specific care

Communication skills

Assertive communication

Admission criteria

Independent work

Mobility (standing/walking)

Education

Nursing degree

Job description

Tucson Medical Center seeks an experienced RN Clinical Documentation Integrity Specialist to perform concurrent reviews of inpatient records, ensuring accurate diagnoses and appropriate level of care. You will query physicians when needed and collaborate with coding/HIM/UR to reflect patient acuity.

Requirements include a nursing degree, Arizona RN licensure, and 3 years of acute care RN experience; CDI experience is preferred.