RN CDI Specialist: Elevate Clinical Documentation

Santa Barbara Cottage Hospital; United States; Remote; USD 62,000 - 117,000; Full time

Job summary

Nuvance Health is seeking a registered nurse with substantial experience in medical/surgical, critical care, ICU or emergency care to join the Clinical Documentation Improvement team.

Responsibilities include improving documentation accuracy, collaborating with physicians and coding staff, and educating staff on documentation guidelines. A BS degree is preferred and NY/CT RN licensure is required. This is a full-time on-site role within the Clinical Documentation Improvement department.

Qualifications

• RN with 5 years of recent experience in medical/surgical, critical care, ICU or ER preferred.
• BS or above preferred.
• Current NY/CT RN Licensure required.

Responsibilities

• Facilitates appropriate clinical documentation to ensure level of services and acuity are accurately reflected in the medical record.
• Communicates with physicians and staff to clarify documentation opportunities and improves documentation using 3M and AHIMA formats.
• Collaborates with coding staff to determine DRG and documentation requirements.
• Maintains ongoing education on clinical documentation integrity and participates in MR review activities.
• Maintains positive communications with physicians and care teams.
• Demonstrates reliable attendance and performs other duties as required.

Skills

RN

Interpersonal communication

Analytical abilities

Independent worker

Education

BS or above preferred

RN licensure (NY/CT)

Job description

Nuvance Health is seeking a registered nurse with substantial experience in medical/surgical, critical care, ICU or emergency care to join the Clinical Documentation Improvement team.

Responsibilities include improving documentation accuracy, collaborating with physicians and coding staff, and educating staff on documentation guidelines. A BS degree is preferred and NY/CT RN licensure is required. This is a full-time on-site role within the Clinical Documentation Improvement department.