RN Clinical Documentation Integrity Specialist - Remote

Universal Health Services; Corona (CA); Remote; USD 70,000 - 100,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated professional for a fully remote position focused on clinical documentation integrity. In this role, you'll conduct thorough reviews of inpatient medical records, ensuring accuracy and compliance while advocating for appropriate reimbursement. With a commitment to fostering collaboration among healthcare professionals, this opportunity offers a challenging yet rewarding work environment. Enjoy competitive compensation, generous paid time off, and the chance to grow within a large network of healthcare facilities. If you're passionate about making a difference in patient care and documentation practices, this role is perfect for you.

Benefits

Competitive Compensation

Generous Paid Time Off

Excellent Medical, Dental, Vision Plans

401(K) with company match

Discounted stock plan

Career development opportunities

Flexible work environment

Qualifications

• 5+ years of recent clinical experience in an acute care setting required.
• Current RN license in California and CCDS or CDIP certification required.

Responsibilities

• Conduct reviews of inpatient medical records for acute care services.
• Collaborate with clinical reviewers and physicians to improve documentation.

Skills

Clinical Documentation Integrity (CDI)

Collaboration

Clinical Assessment

Medical Record Review

Education

Associate's degree in nursing

Bachelor's degree in nursing

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:

1. Competitive Compensation & Generous Paid Time Off
2. Excellent Medical, Dental, Vision, and Prescription Drug Plans
3. 401(K) with company match and discounted stock plan
4. Career development opportunities within a large network of healthcare facilities
5. Fully remote position with flexibility
6. Challenging and rewarding work environment

What to Expect (Job Responsibilities):

1. Conduct clinically based concurrent and retrospective reviews of inpatient medical records to assess the utilization and documentation of acute care services
2. Foster collaboration between clinical reviewers, medical record coders, and physicians to enhance documentation and reimbursement processes
3. Advocate for appropriate reimbursement by facilitating clarification and specificity in clinical documentation with physicians
4. Review medical records to identify payer populations documented upon admission and throughout hospitalization
5. Support the accuracy and completeness of clinical information used for measuring and reporting physician and hospital outcomes

What is Required (Qualifications):

1. Associate's degree from an accredited College or University in the field of nursing required
2. Minimum of five (5) years recent clinical experience in an acute care setting required
3. Minimum of three (3) years recent experience performing Clinical Documentation Integrity (CDI) reviews in an inpatient acute care setting required
4. Current license as a Registered Nurse in the State of California required
5. Current certification(s) for Certified Clinical Documentation Specialist (CCDS) or Certified Clinical Improvement Practitioner (CDIP) required

How to Stand Out (Preferred Qualifications):

1. Bachelor's degree from an accredited College or University in the field of nursing preferred
2. Minimum of five (5) years of CDI review experience in an inpatient acute care setting preferred
3. Additional licensure/certification of one or more of the following credentials: CCDS-O, CCS, RHIT preferred

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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.