RN Clinical Documentation Specialist: Elevate Care & Compliance

Ensemble Health Partners; Putnam (CT); Hybrid; USD 72.000 - 88.000; Vollzeit

Benefits dieser Stelle

Bonus incentives

Tuition reimbursement

Certifications

Comprehensive benefits

Career advancement

Zusammenfassung

Ensemble Health Partners in Putnam, CT is seeking an RN Clinical Documentation Specialist - Referrals to ensure complete and accurate physician documentation for severity of illness, ROM, and DRG assignments. You will review records within 24-48 hours of admission and collaborate with physicians and coding staff.

This role offers a base salary of $80,000 with bonus incentives and opportunities for certifications, tuition reimbursement, and career advancement.

Qualifikationen

• Five years acute care nursing experience or more.
• Current RN licensure in good standing.
• Excellent verbal and written communication skills.
• Ability to organize and present information clearly and concisely.
• Willingness to innovate and explore AI-enabled improvements.

Aufgaben

• Review patient records within 24-48 hours of admission and ongoing reviews every 24-48 hours; enter findings in CDE.
• Assign principal diagnosis, CC/MCC, SOI and ROM; code with ICD-10-CM and DRG using encoder.
• Clarify with physicians to obtain missing or conflicting documentation.
• Educate clinicians and care teams on CDI guidelines and documentation accuracy.
• Collaborate with coding and care coordination to ensure accurate DRG assignment.
• Prepare timely appeals with supporting clinical evidence and regulatory guidelines.
• Work with care coordination to resolve physician clarifications prior to discharge.
• Ensure compliance with clinical documentation regulations.

Kenntnisse

Interpersonal communication

Verbal communication

Written communication

Prioritization

Ausbildung

RN Licensure

Tools

CDE software

Jobbeschreibung

Ensemble Health Partners in Putnam, CT is seeking an RN Clinical Documentation Specialist - Referrals to ensure complete and accurate physician documentation for severity of illness, ROM, and DRG assignments. You will review records within 24-48 hours of admission and collaborate with physicians and coding staff.

This role offers a base salary of $80,000 with bonus incentives and opportunities for certifications, tuition reimbursement, and career advancement.