RN Clinical Documentation Specialist – Revenue Cycle Expert

Best Care; Council Bluffs (IA); On-site; USD 70,000 - 90,000; Full time

Job summary

Nebraska Methodist Health System is seeking a Registered Nurse to perform concurrent review of clinical documentation for admitted patients, ensuring accurate representation of diagnoses and procedures. The role involves daily review workload, physician query development, and collaborative problem solving within a hospital setting.

The position emphasizes education of physicians and staff on documentation standards, with a focus on quality reporting and compliance.

Qualifications

• Graduate of an accredited school of nursing.
• RN license (compact multistate where applicable).
• Bachelor of Science in Nursing preferred.

Responsibilities

• Conduct concurrent review of clinical documentation for admissions to ensure accurate diagnoses and procedures.
• Perform 25–30 reviews daily.
• Develop physician queries to capture severity of illness and accurate diagnoses.
• Communicate with physicians to clarify unclear or incomplete documentation.
• Track responses to queries to identify opportunities for education.
• Educate physicians, staff, and nurses on documentation and coding requirements.

Skills

Excellent communication

Collaborative relationships

Self starter

Teamwork

Educator to physicians

Education

RN license

BSN preferred

Accredited nursing school

Job description

Nebraska Methodist Health System is seeking a Registered Nurse to perform concurrent review of clinical documentation for admitted patients, ensuring accurate representation of diagnoses and procedures. The role involves daily review workload, physician query development, and collaborative problem solving within a hospital setting.

The position emphasizes education of physicians and staff on documentation standards, with a focus on quality reporting and compliance.