RN Clinical Documentation Improvement Specialist

Capital Health (US); New York (NY); Sur place; USD 54 000 - 70 000; Plein temps

Avantages offerts par ce poste

Medical Plan

Dental Plan

Vision Plan

Paid Time-Off Program

Résumé du poste

Capital Health seeks a Registered Nurse with a CDI focus to improve clinical documentation quality across patient records, partnering with physicians, nurses, and coding staff to ensure accurate DRG assignment and mortality risk reporting.

The role requires 2+ years in an acute care setting, CCDS/CDIP preferred, and proficiency with EMR systems. This is a 40-hour, full-time position offering comprehensive benefits.

Qualifications

• RN license required; BSN preferred.
• CCDS or CDIP credential preferred.
• Strong critical thinking and communication skills; proficient with EMR systems.

Responsabilités

• Perform initial reviews of patient records to ensure accurate DRG assignment and mortality risk.
• Conduct follow-up reviews and query physicians for missing or unclear documentation.
• Educate care team on clinical documentation guidelines and improvements.

Connaissances

Critical thinking

Communication

EMR systems proficiency

Attention to detail

Formation

RN license

BSN preferred

CCDS/CDIP preferred

Outils

Windows-based software

Encoding software

Description du poste

Capital Health seeks a Registered Nurse with a CDI focus to improve clinical documentation quality across patient records, partnering with physicians, nurses, and coding staff to ensure accurate DRG assignment and mortality risk reporting.

The role requires 2+ years in an acute care setting, CCDS/CDIP preferred, and proficiency with EMR systems. This is a 40-hour, full-time position offering comprehensive benefits.