On-Site Clinical Documentation & Compliance Specialist

Genesis Administrative Services LLC; Albuquerque (NM); Sur place; USD 39 000 - 50 000; Plein temps

Avantages offerts par ce poste

Variable compensation plans

Tuition, Travel, and Wireless Service 

Employee Assistance Program

Employee Foundation

Health, Dental, Vision, Company-paid 1

401K

Paid Time Off

On-Demand Pay

Résumé du poste

PowerBack Rehabilitation is seeking a Full-Time, on-site Clinical Documentation Improvement Specialist to support multiple centers in Albuquerque. The role focuses on overseeing HNF documentation for resident care, regulatory compliance and reimbursement.

You will review charts, collaborate with nursing and therapy teams, and educate staff on proper documentation practices while ensuring timely and accurate records per state guidelines.

Qualifications

• Must be a graduate of an approved school for practical or vocational nursing.
• Must be currently licensed by the State Board of Nursing or pending licensed practical nurse licensure.
• Must maintain current BLS/CPR certification (All SNFs and Behavioral Centers; ALFs/ILFs as required by State).

Responsabilités

• Oversee clinical documentation for HNF and related resident care documentation.
• Review charts, assessments and care plans to ensure accuracy and compliance.
• Collaborate with nursing, therapy, social services and providers to gather information.
• Monitor changes in condition and update documentation accordingly.
• Audit charts for missing or inconsistent information and follow up with staff.
• Educate staff on proper documentation practices for HNF requirements.
• Communicate acuity levels with Managed Care Organizations per state regulations.

Connaissances

Clinical assessment

Documentation accuracy

Regulatory knowledge

Communication with MCOs

Formation

Licensed Practical Nurse (LPN)

Outils

EHR systems

Description du poste

PowerBack Rehabilitation is seeking a Full-Time, on-site Clinical Documentation Improvement Specialist to support multiple centers in Albuquerque. The role focuses on overseeing HNF documentation for resident care, regulatory compliance and reimbursement.

You will review charts, collaborate with nursing and therapy teams, and educate staff on proper documentation practices while ensuring timely and accurate records per state guidelines.