Remote - RN Clinical Documentation Specialist

Pride Health; Wisconsin; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is on the lookout for a skilled RN Clinical Documentation Specialist to join their team in a fully remote capacity. This role involves enhancing clinical documentation integrity through comprehensive chart reviews and collaboration with healthcare professionals. You'll have the opportunity to impact patient care quality while ensuring accurate reimbursement processes. With a competitive pay range and a contract length of 6 months, this position offers a chance to make a significant difference in the healthcare landscape. If you have a passion for nursing and a keen eye for detail, this could be the perfect fit for you!

Benefits

Comprehensive healthcare coverage

401(k) retirement savings

Life & disability insurance

Employee assistance program

Legal support

Employee discounts with preferred vendors

Qualifications

• 5+ years of acute care nursing experience required.
• 1+ year of CDI experience in a hospital setting required.
• Current RN license in Wisconsin or multi-state license required.

Responsibilities

• Collect and assess data within CDI software systems.
• Facilitate modifications to clinical documentation for reimbursement.
• Provide training and guidance to Associate CDS nurses.

Skills

Excellent communication skills

Negotiation skills

Troubleshooting skills

Presentation skills

Ability to read medical treatments

Ability to interact with all levels

Excellent follow-through

Education

Bachelor’s degree in nursing

Tools

MS Office (Excel, Outlook, Word)

WebEx

Epic (or similar EMR)

Job description

Remote - RN Clinical Documentation Specialist

This range is provided by Pride Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$48.00/hr - $51.00/hr

Pride Health is seeking an RN Clinical Documentation Specialist for one of its clients in Wisconsin.

This is a 6-month contract with the possibility of extension with competitive pay and benefits. This is a Fully Remote role.

Location: Fully Remote

Pay range: $48 to $51 per Hour

Length of assignment: 6 Months of Contract (Possibility of Extension)

Job Summary

The Clinical Documentation Specialist is an experienced Clinical Documentation Nurse who has obtained knowledge and expertise in all patient populations across the enterprise to provide comprehensive Clinical Documentation Integrity (CDI) chart reviews. Facilitate modifications to clinical documentation to ensure appropriate reimbursement is received for the level of service rendered. Ensures the accuracy and completeness of clinical information used for measuring and reporting clinical and quality outcomes.

Job Duties

• Collects and assesses data within CDI software systems.
• Independently apply experience and critical thinking skills to identify opportunities for documentation improvement that support the program and organizational goals.
• Facilitate modifications to clinical documentation to ensure appropriate reimbursement is received for the level of service rendered. Improves quality and completeness of clinical documentation by performing initial, follow-up, and reconciliation reviews while adhering to organizational workflows and ACDIS / AHIMA guidelines.
• Provide training and guidance to Associate CDS nurses.
• Identifies and reviews complex clinical issues/service line trends upon reconciliation process via level process with coding. Facilitates and enhances procedural coding practices. Collaborates with physicians, midlevel providers, nursing staff, other patient providers, and coding staff to ensure appropriate reimbursement is received for the level of service rendered and to capture Quality-specific codes related to patient encounter-specific DRGs.
• Ensure points of clarification have been recorded in the patient’s chart.
• Maintains records that support appropriate financial reimbursement (DRG and CMI) and organization quality benefit rankings.
• Other duties as assigned.

Requirements

• Education: Bachelor’s degree in nursing.
• Experience: Minimum of five (5) years of acute care nursing experience is required.
• A minimum of one (1) year of CDI experience in a hospital setting is required.
• Efficient use of MS Office products (Excel, Outlook, Word), WebEx, and Epic (or similar EMR).
• Required Certifications & Licensure: Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from a participating state in the NLC (Nurse Licensure Compact).
• Advanced certification related to CDI (CCDS, CDIP) is preferred.
• Skills: Excellent communication, negotiation, troubleshooting, and presentation skills.
• Ability to read and correlate an extensive variety of medical/surgical medical treatments and monitor clinical conditions.
• Ability to interact with all levels of the organization.
• Ability to document and maintain process documentation.
• Excellent follow-through from initiation to conclusion.
• Working knowledge related to MSDRG and APRDRG payer trends and rules.
• Working knowledge related to DRG and CMI impacts.
• Working knowledge of coding guidelines and coding clinics.

Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

Equal Opportunity Employer

As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

Seniority level

Mid-Senior level

Employment type

Contract

Job function

Health Care Provider

Industries

Hospitals and Health Care, Hospitals, and Medical Practices