Registered Nurse (RN) - Clinical Documentation Specialist

MaineHealth; Scarborough (ME); Sur place; USD 83 000 - 113 000; Plein temps

Résumé du poste

MaineHealth Corporate is seeking a Registered Nurse - Clinical Documentation Specialist to join our dedicated team in Maine. The ideal candidate will hold a BSN; ASN will be considered. Five years of acute RN experience and RN licensure are required.

This full-time, day-shift position runs 8-hour shifts from 6:00 a.m. to 6:00 p.m., Monday through Friday, in a CDI-focused program. The Clinical Documentation Specialist will improve the quality and completeness of medical records, obtain supporting

Qualifications

• Graduate of an accredited School of Nursing; BSN preferred.
• Current RN license in applicable state(s).
• Five years of acute care nursing experience required.

Responsabilités

• Facilitate improvement of the overall quality and completeness of medical record documentation.
• Obtain appropriate clinical documentation through extensive interaction with providers, nursing staff, and other caregivers.
• Coordinate with coding staff to ensure reimbursement is received for patient services rendered.

Connaissances

Clinical documentation

Provider communication

Formation

BSN preferred

ASN considered

Description du poste

Description

MaineHealth Corporate

Nursing
Req #: 94430

MaineHealth's - Clinical Documentation Management Program is seeking Registered Nurse - Clinical Documentation Specialistto join our dedicated team. The ideal candidate will hold a Bachelor of Science in Nursing (BSN); however, candidates with an Associate of Science in Nursing (ASN) will also be considered. CDI Specialist experience is preferred but not required. A minimum of five years of Acute Registered Nurse experience is required.

This is a full-time, day-shift position consisting of 8-hour shifts scheduled between 6:00 a.m. and 6:00 p.m., Monday through Friday

Summary:

The Clinical Documentation Specialist role is responsible for facilitating the improvement in the overall quality and completeness of medical record documentation, obtaining appropriate clinical documentation through extensive interaction with providers nursing staff, and other caregivers and coordinating with coding staff to ensure reimbursement is received for patient services rendered.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education: Graduate of an accredited School or Nursing, BSN preferred.
2. License/Certifications: Current applicable state(s) license as a Registered Nurse required.
3. Experience: Five years of acute care nursing experience required.

Additional Information

MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources-so you can grow your career while feeling supported both personally and professionally.

We recognize the value each team member brings to our organization.Any offer of employmentwill depend onqualificationssuch asskills, relevant experience, education, certifications,and otherjob-relatedfactors. Thebase rangeis an estimate and does notreflect the full valueofourtotal compensationpackage.

The pay range for this position is $83,324.80to $112,736.00per year.

Compensation for part-time positions isdeterminedon a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE).

In addition to base pay, MaineHealth offerscomprehensivebenefits, recognition programs, career growth opportunities, and,where applicable,shiftdifferentials or other incentives.

If you have questions about this role, please contact [e-mail]

Hiring Scam Alert

MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to [e-mail].

Notice Regarding Maine Employer Surveillance Statute:Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras.

Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.