RN Clinical Documentation Specialist

Healthcare Support Staffing; Moreno Valley (CA); On-site; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare staffing agency is seeking a Registered Nurse CDI Specialist responsible for ensuring clear and clinically accurate documentation of patient records. The candidate should have at least five years of clinical experience and proficiency in various software tools. This role involves collaboration with healthcare teams to enhance documentation practices and requires strong analytical and communication skills. Interested applicants can submit their resume for review directly to the hiring consultant.

Qualifications

• Minimum of five (5) years clinical experience in an acute care environment.
• Knowledge of CA State charting requirements.
• Ability to analyze large amounts of data, identify problems.

Responsibilities

• Ensure patient record contains clinically accurate documentation.
• Improve concurrent documentation practices through education.

Skills

Clinical documentation

Collaboration with healthcare staff

Proficient in computer skills

Analytical skills

Multi-tasking

Effective communication

Education

CDI certification preferred

Tools

MS Office Suite

Charting software

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

• The Registered Nurse CDI Specialist is an integral part of the healthcare team and is responsible for ensuring that the patient record contains clinical documentation that is clear, concise, and clinically accurate to meet the goals of the CDI program.
• The Registered Nurse CDI Specialist serves as part of the team responsible for improving the concurrent documentation practices in the hospital through ongoing education and works with physician clinical documentation, coding and reimbursement processes towards achieving quality and productivity goals

Qualifications

Hours for this Position:

Monday – Friday Day time shift

• Minimum of five (5) years clinical experience in acute care environment
• Current CDI certification preferred (must obtain within 18 months of employment through Association of Clinical Documentation Improvement Specialists/ACDIS)
• Experience in practice of clinical documentation: nursing health information, case management, quality management or similar related field
• Knowledge of CA State charting requirements
• Knowledge of diagnoses/procedures in accordance with ICD-9 CM & CPT-4 coding principles
• Knowledge of all state, federal and private reimbursement systems
• Ability to work effectively with physicians, nurses and ancillary staff in a collaborative manner
• Ability to provide education to diverse group/teams within the healthcare environment.
• Proficient in computer skills with many softwares including, but not limited to, charting softwares, MS Office Suite, Lotus Notes.
• Ability to analyze large amounts of date, identify problems, patterns, trends/facilitate improvement actions needed
• Ability to multi-task and take initiative to suggest process improvements
• Proven organization, analytical skills to identify patterns and trends.
• Ability to read and communicate effectively in English

Additional Information

INTERESTED IN BEING CONSIDERED? Take the next step! Click on the green I'M INTERESTED button to submit your resume for review. Or send your resume to Kurt Hughes directly at [e-mail]

All your information will be kept confidential according to EEO guidelines.