RN Clinical Documentation Specialist — Elevate Care

Cape Cod Healthcare Inc; Hyannis (MA); On-site; USD 58,000 - 123,000; Part time

Benefits offered by this job

Flexible scheduling

Job summary

Cape Cod Hospital in Hyannis, MA seeks an RN, Clinical Documentation Specialist (CDI) to review medical records and improve documentation for accurate DRG assignments. You will work with physicians, HIM staff and nursing to ensure timely, high-quality CDI input.

The role requires an RN licensed in MA with a BSN preferred and 3+ years CDI experience, plus CDI certification or exam knowledge. 32 hours per week with rotating days. Competitive hourly pay and benefits.

Qualifications

• Graduate of a School of Nursing
• RN licensed in MA (Commonwealth of MA)
• BSN preferred for external applicants
• Minimum 3 years RN CDI practice experience
• CDI certification or exam knowledge
• Knowledge of Medicare Part A & Part B
• Familiarity with regulatory environment
• Strong organizational, analytical, writing & interpersonal skills
• Dependable, self-directed with problem solving

Responsibilities

• Extensive record review and interaction with physicians and staff.
• Participate in team meetings and staff education on CDI.
• Learn and develop CDI duties and input data accurately.
• Identify opportunities to improve documentation and formulate queries.
• Communicate effectively with physicians and HIM staff.
• Follow up on all cases, especially those with queries.
• Participate in task forces and manage multiple priorities.
• Resolve discrepancies with HIM staff and input data into EMR.
• Support clinical documentation strategies and service excellence.

Education

RN license in MA

BSN (preferred)

3+ years CDI RN experience

CDI certification options

Knowledge of Medicare Part A/B

Regulatory knowledge

Interpersonal skills

Job description

Cape Cod Hospital in Hyannis, MA seeks an RN, Clinical Documentation Specialist (CDI) to review medical records and improve documentation for accurate DRG assignments. You will work with physicians, HIM staff and nursing to ensure timely, high-quality CDI input.

The role requires an RN licensed in MA with a BSN preferred and 3+ years CDI experience, plus CDI certification or exam knowledge. 32 hours per week with rotating days. Competitive hourly pay and benefits.