RN CDI Specialist: Elevate Documentation & Reimbursement

Medical Center Health System; Odessa (TX); On-site; USD 70,000 - 95,000; Full time

Job summary

Medical Center Health System in Texas is seeking a Clinical Documentation Improvement Specialist RN to join our full-time day shift team. This role focuses on enhancing clinical documentation to support severity of illness, risk of mortality, and appropriate reimbursement, while ensuring accurate reporting of outcomes.

The CDI RN will query physicians to obtain precise documentation, educate care teams, and stay current with CMS rules and coding concepts.

Qualifications

• Minimum 1 year of clinical experience in acute care or related setting.
• Ability to read and analyze medical records and supporting documentation.
• Willingness to learn CMS rules and coding structures.
• Excellent written and verbal communication skills.

Responsibilities

• Facilitates improvement of clinical documentation.
• Obtains physician documentation to support severity of illness and reimbursement.
• Supports timely, accurate, and complete documentation for outcomes reporting.
• Educates all members of the patient care team on an ongoing basis.

Skills

Inpatient experience

Excellent communication

Critical thinking

Adaptability to CMS changes

Education

RN license in Texas

Tools

CMS coding guidelines

Job description

Medical Center Health System in Texas is seeking a Clinical Documentation Improvement Specialist RN to join our full-time day shift team. This role focuses on enhancing clinical documentation to support severity of illness, risk of mortality, and appropriate reimbursement, while ensuring accurate reporting of outcomes.

The CDI RN will query physicians to obtain precise documentation, educate care teams, and stay current with CMS rules and coding concepts.