RN CDI Specialist — Elevate Acute Care Documentation

Direct Staffing Inc; Birmingham (AL); On-site; USD 60,000 - 80,000; Full time

Job summary

A healthcare staffing agency is seeking an RN Clinical Documentation Specialist to conduct reviews of inpatient medical records and evaluate clinical documentation. The role requires building a collaborative environment with medical staff and ensuring accurate physician documentation. Candidates should have previous clinical documentation experience and a background in a Hospital Acute Care setting. The position demands a self-motivated individual who can work independently while demonstrating excellent initiative.

Qualifications

• Previous Clinical Documentation Experience is highly desired.
• Case management experience is helpful.
• Candidate must have worked in a Hospital Acute Care environment.

Responsibilities

• Conduct clinically based concurrent and retrospective reviews.
• Evaluate the clinical documentation of acute care services.
• Work closely with physicians and medical staff for documentation.

Skills

Nursing

Clinical Documentation

Electronic Clinical Information Systems

Education

Associate's Degree in Nursing

Bachelor's or Master's in Nursing Preferred

Job description

A healthcare staffing agency is seeking an RN Clinical Documentation Specialist to conduct reviews of inpatient medical records and evaluate clinical documentation. The role requires building a collaborative environment with medical staff and ensuring accurate physician documentation. Candidates should have previous clinical documentation experience and a background in a Hospital Acute Care setting. The position demands a self-motivated individual who can work independently while demonstrating excellent initiative.