RN CDI Specialist – Sign-On Bonus & Relocation

UNMH Jobs; Monte Largo Hills (NM); Sur place; USD 65 000 - 90 000; Plein temps

Avantages offerts par ce poste

Sign-On Bonus Available

Relocation Assistance Available

Résumé du poste

University of New Mexico Hospital (UNMH) is seeking an experienced HIM Clinical Documentation professional to perform concurrent review of patient records to improve documentation supporting severity and resource use. You will interact with physicians and care teams, provide education, and use abstracting software to support coding and reporting during hospitalization.

Role emphasizes documentation accuracy, communication, and process improvement with no direct patient care.

Qualifications

• Current NM RN license or as allowed by reciprocal agreement in NM.
• 1 year directly related experience; documentation improvement experience preferred.
• Bachelor's Degree plus nursing credential; Nationally Accredited Nursing Graduate preferred.

Responsabilités

• REVIEW patient records with physician and care team to identify principal and secondary diagnoses and assign MS-DRG.
• CONCURRENT REVIEW of admissions to document findings and track quality indicators.
• INTERPRET clinical information to suggest documentation improvements and communicate with physicians.
• UTILIZE abstraction and data entry tools for coding, abstraction and reporting.
• EDUCATE providers on appropriate documentation and queries; ensure HIPAA confidentiality.
• COORDINATE with HIM, Utilization Review, Quality Management, and physician leadership to improve documentation.
• IDENTIFY and implement process improvements; monitor outcomes and reporting.
• COMPLY with policies, maintain confidentiality, and perform other duties as assigned.

Formation

Bachelor's Degree

Nationally Accredited Nursing Graduate

Description du poste

University of New Mexico Hospital (UNMH) is seeking an experienced HIM Clinical Documentation professional to perform concurrent review of patient records to improve documentation supporting severity and resource use. You will interact with physicians and care teams, provide education, and use abstracting software to support coding and reporting during hospitalization.

Role emphasizes documentation accuracy, communication, and process improvement with no direct patient care.