RN CDI Specialist: Elevate Documentation & DRG Quality

Pathways to Potential, PLLC; Northern (KY); Ibrido; USD 60.000 - 80.000; Tempo pieno

Vantaggi offerti da questo lavoro

Sign-On Bonus Available

Relocation Assistance Available

Descrizione del lavoro

Pathways to Potential, PLLC is seeking a Clinical Documentation Improvement Specialist for the HIM Clinical Documentation department. This RN-focused role reviews documentation during patient stays and communicates with physicians to improve severity of illness reporting, DRG accuracy, and coding quality.

Responsibilities include concurrent reviews, problem solving with care teams, and training providers on documentation standards.

Competenze

• RN license in NM or as allowed by reciprocal agreement by NM
• 1 year directly related experience
• Documentation improvement experience

Mansioni

• Review and record principal and secondary diagnoses; assign MS-DRG
• Conduct initial and ongoing concurrent reviews during admissions
• Interpret clinical data and communicate with physicians to obtain accurate documentation
• Utilize reporting tools to track Documentation Improvement Program metrics
• Coordinate with HIM, Utilization Review, and Quality Management teams
• Provide education to physicians and staff on documentation improvement
• Maintain confidentiality per HIPAA and comply with policies
• Perform other duties as assigned

Conoscenze

Communication

Problem solving

Process improvement

Coordination

Formazione

Program Graduate

Bachelor's Degree

Nationally Accredited Nursing Graduate

Nursing

Strumenti

MS-DRG worksheets

Documentation software

Descrizione del lavoro

Pathways to Potential, PLLC is seeking a Clinical Documentation Improvement Specialist for the HIM Clinical Documentation department. This RN-focused role reviews documentation during patient stays and communicates with physicians to improve severity of illness reporting, DRG accuracy, and coding quality.

Responsibilities include concurrent reviews, problem solving with care teams, and training providers on documentation standards.