RN CDI Specialist: Elevate Long-Term Care Documentation

Genesis Administrative Services LLC; Santa Fe (NM); On-site; USD 46,838 - 61,992; Full time

Benefits offered by this job

Employee Assistance Program

Health, Dental, and Vision Insurance

401K

Paid Time Off

Tuition Discounts

Pet Insurance

Job summary

A healthcare provider in New Mexico seeks a Clinical Documentation Improvement Specialist to oversee documentation for regulatory compliance and reimbursement in nursing facilities. Responsibilities include reviewing charts, collaborating with various departments, and educating staff. Candidates must be a graduate of an accredited nursing program with current RN licensure and a minimum of three years clinical experience, preferably in long-term care. The position offers competitive compensation and benefits.

Qualifications

• Minimum 3 years full-time clinical experience.
• At least 2 years in long-term care nursing, 1 year in management or supervisory role.
• Current BLS/CPR certification and RN license required.

Responsibilities

• Oversee clinical documentation for compliance and reimbursement.
• Review resident charts and ensure accuracy of documentation.
• Collaborate with interdisciplinary teams to gather information.
• Monitor changes in patient conditions and update documentation.
• Audit charts for missing information and ensure staff compliance.
• Educate staff on HNF documentation practices.

Skills

Clinical assessment

Clinical judgement

Documentation practices

Education

Graduate of accredited nursing school

Current RN licensure

BSN preferred

Job description

A healthcare provider in New Mexico seeks a Clinical Documentation Improvement Specialist to oversee documentation for regulatory compliance and reimbursement in nursing facilities. Responsibilities include reviewing charts, collaborating with various departments, and educating staff. Candidates must be a graduate of an accredited nursing program with current RN licensure and a minimum of three years clinical experience, preferably in long-term care. The position offers competitive compensation and benefits.