RN Clinical Documentation Specialist Elevate Patient Records

125 Advocate Health and Hospitals Corporation; Park Ridge (IL); On-site; USD 53,000 - 79,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Education assistance

Job summary

Advocate Lutheran General Hospital in Illinois seeks a Registered Nurse with a BSN and 5+ years of hospital nursing experience to lead clinical documentation improvement efforts. The role emphasizes chart reviews, collaboration with physicians, and ensuring accurate medical records with proper DRG coding.

On-site requirement is three days per week. Experience in ICD-10 coding and a strong grasp of regulatory standards are essential, with a focus on patient safety and quality metrics within a

Qualifications

• BSN required with 5+ years of hospital nursing experience.
• Experience in clinical documentation improvement preferred.
• Illinois RN license required.

Responsibilities

• Improve clinical documentation quality through chart reviews using guidelines and regulatory requirements.
• Communicate with health care team to ensure accurate documentation in the medical record.
• Conduct follow-up reviews to clarify and capture required documentation in the chart.
• Identify principal diagnosis and DRG-related details to reflect acuity and mortality risk.
• Collaborate with physicians and coders to assign correct DRG and improve documentation processes.

Skills

Registered Nurse

BSN

Clinical documentation

Hospital nursing

Communication

Education

BSN

Tools

ICD-10 coding

Job description

Advocate Lutheran General Hospital in Illinois seeks a Registered Nurse with a BSN and 5+ years of hospital nursing experience to lead clinical documentation improvement efforts. The role emphasizes chart reviews, collaboration with physicians, and ensuring accurate medical records with proper DRG coding.

On-site requirement is three days per week. Experience in ICD-10 coding and a strong grasp of regulatory standards are essential, with a focus on patient safety and quality metrics within a