RN Clinical Documentation Specialist - Coding Advocate

bestcare; Council Bluffs (IA); On-site; USD 75,000 - 95,000; Full time

Job summary

Nebraska Methodist Health System is seeking an experienced RN for concurrent review of clinical documentation to ensure accurate coding and reporting of diagnoses and procedures. You will collaborate with physicians, coders, and care teams to improve documentation quality.

Responsibilities include reviewing daily admissions, developing physician queries, educating staff, and tracking response outcomes to support quality reporting and case mix index.

Qualifications

• Graduate of an accredited school of nursing; RN license required.
• Five years clinical nursing experience in medical-surgical nursing and/or ICU or related field.
• Current RN license (compact multistate) or temporary permit as applicable.

Responsibilities

• Perform concurrent review of clinical documentation to ensure accurate representation of diagnoses and procedures.
• Assist in physician query development to obtain correct diagnoses and capture severity of illness.
• Initiate professional communication with physicians to clarify unclear or incomplete documentation.
• Track responses to physician queries and monitor changes in documentation and case mix index.
• Collaborate with coding staff to clarify documentation requirements and provide education.

Skills

Excellent communication

Teaching skills

Critical thinking

Team collaboration

Self starter

Education

BSN preferred

Graduate of accredited nursing school

Job description

Nebraska Methodist Health System is seeking an experienced RN for concurrent review of clinical documentation to ensure accurate coding and reporting of diagnoses and procedures. You will collaborate with physicians, coders, and care teams to improve documentation quality.

Responsibilities include reviewing daily admissions, developing physician queries, educating staff, and tracking response outcomes to support quality reporting and case mix index.