RN Clinical Documentation Specialist: Improve DRG Coding

Houston Dose; Houston (TX); On-site; USD 90,000 - 110,000; Full time

Job summary

Houston Methodist seeks a Clinical Documentation Specialist RN to improve the quality and completeness of clinical documentation. The role analyzes medical records for DRGs, comorbidities, and codes to ensure accurate reimbursement and outcomes measurement.

It involves extensive collaboration with physicians, nursing staff, and coding teams to drive documentation improvements. Required is a Texas RN license with within-60-days eligibility, five years of acute care experience, and graduation from

Qualifications

• RN license in Texas required or must obtain within 60 days of residency
• Graduate of education program approved by credentialing body
• Five years of clinical experience in acute care
• CCDS/CDIP/CCS certifications preferred
• Coding and utilization review experience preferred

Responsibilities

• Improve the overall quality, completeness and accuracy of clinical documentation
• Analyze medical records for DRG assignments, complications and comorbidities
• Collaborate with physicians, nursing staff and coders to modify documentation for appropriate reimbursement
• Educate internal care teams on clinical documentation opportunities and reimbursement issues
• Support accuracy of clinical information used for measuring physician and hospital outcomes

Skills

Clinical documentation

Analytical thinking

Verbal & written communication

English proficiency

Education

RN - Texas State Licensure

Job description

Houston Methodist seeks a Clinical Documentation Specialist RN to improve the quality and completeness of clinical documentation. The role analyzes medical records for DRGs, comorbidities, and codes to ensure accurate reimbursement and outcomes measurement.

It involves extensive collaboration with physicians, nursing staff, and coding teams to drive documentation improvements. Required is a Texas RN license with within-60-days eligibility, five years of acute care experience, and graduation from