Registered Nurse - Clinical Documentation Integrity Specialist

Ansible Government Solutions; Memphis (TN); On-site; USD 90,000 - 120,000; Full time

Job summary

Ansible Government Solutions is recruiting a CDI Nursing Advisor for the Lt. Col. Luke Weathers, Jr.

VA Medical Center in Memphis, TN. You will serve as the RN advisor for the CDI program, reviewing records to improve documentation, coding accuracy, and clinical validation across inpatient and outpatient settings. You will develop and implement CDI management programs, create training for clinical staff, and generate performance reports in alignment with VHA requirements.

Qualifications

• Bachelor's degree in Nursing from an accredited program.
• Current, full, active RN license in any State, Territory, or Commonwealth of the United States.
• Minimum of two years' experience working as a CDI specialist in a hospital setting.
• Certification from AHIMA and/or AAPC and/or ACDIS.
• Knowledge of ICD-10-CM and MS-DRG coding systems.

Responsibilities

• Act as the Registered Nurse Advisor for the facility's CDI program, focusing on both inpatient and outpatient services.
• Review health records concurrently to identify opportunities for improved documentation and coding accuracy.
• Support CDI activities by applying the nursing process to data gathered by the CDI team and reviewing it for validation and trends.
• Communicate findings to the CDI team, providers, and other departments as appropriate.
• Collaborate with healthcare providers through written, verbal, or electronic clarification requests or queries.
• Develop and implement the facility's CDI management program, including SOPs, workflow, and turnaround time compliance.
• Update problem lists or SNOMED-CT terminology consistent with ICD-10-CM codes.
• Conduct concurrent or retrospective reviews to clarify clinical questions and identify query opportunities.
• Develop and deliver active training/education programs for clinical staff on documentation standards and techniques.
• Provide self-directed support to clinical staff, patients, and families throughout the continuum of care.
• Generate weekly, bi-monthly, and monthly reports as required by the COR.
• Maintain performance metrics per VHA requirements.
• Participate in CDI-specific program initiatives.

Skills

Communication

Interpersonal

Critical thinking

RN license

CDI cert

Education

Bachelor's degree in Nursing

Job description

Overview

Ansible Government Solutions, LLC (Ansible) is currently recruiting CDI Nursing Advisor at the Lt. Col. Luke Weathers, Jr. VA Medical Center located at 116 North Pauline St, Memphis, TN 38104. The schedule is typically Monday-Friday, 7:30am-4pm. If you accept employment with Ansible, you must also acknowledge that any assigned schedule is subject to change at the direction of either Ansible or its customers.

Ansible is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of health care, national security, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers' success as if it is their own.

Responsibilities

• Act as the Registered Nurse Advisor for the facility's CDI program, focusing on both inpatient and outpatient services
• Review health records concurrently to identify opportunities for improved documentation and coding accuracy using clinical knowledge and critical thinking skills
• Support CDI activities by applying the nursing process to data gathered by the CDI team, reviewing it for clinical validation, trends, and opportunities for improvement
• Communicate findings to the CDI team, providers, and other departments as appropriate
• Collaborate with healthcare providers through written, verbal, or electronic clarification requests or queries
• Develop and implement the facility's CDI management program, including charter, Standard Operating Procedures (SOW), workflow, and turnaround time compliance
• Focus on updating problem lists or Scientific Nomenclature of Medicine - Clinical Terminologies (SNOMED-CT) consistent with ICD-10 CM code sets
• Conduct concurrent or retrospective reviews of health records to clarify clinical questions and identify potential query opportunities
• Develop and deliver active training/education programs for clinical staff about current documentation standards and improving techniques
• Provide self-directed support to clinical staff, patients, and families throughout the continuum of care
• Generate weekly, bi-monthly, and monthly reports as required by the COR
• Maintain performance metrics in accordance with VHA requirements
• Participate in collaborative meetings and CDI-specific program initiatives

Qualifications

• Bachelor's degree in Nursing from an accredited program
• Current, full, active and unrestricted RN license in any State, Territory, or Commonwealth of the United States
• Minimum of two years' experience working as a CDI specialist in a hospital setting
• Certification from American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) and/or Association of Clinical Documentation Integrity Specialists (ACDIS)
• Knowledge of ICD-10-CM and MS-DRG coding systems
• Experience with electronic health record systems, particularly VistA/CPRS preferred
• Thorough understanding of medical terminology, anatomy, physiology, disease processes, and treatment protocols
• Knowledge of regulatory guidelines including The Joint Commission, CMS, and VHA requirements
• Excellent communication, interpersonal, and critical thinking skills
• No sponsorship available

All candidates must be able to:

• Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift
• Lift up to 50 lbs from floor to waist
• Lift up to 20 lbs
• Carry up to 40 lbs a reasonable distance
• Push/pull with 30 lbs of force

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.