RN Clinical Documentation Specialist – Revenue Integrity

denverhealth; Denver (CO); On-site; USD 83,000 - 128,000; Full time

Benefits offered by this job

Paid time off

Parental leave

Retirement contributions

Health insurance

Tuition assistance

Job summary

Denver Health is seeking a mission-driven RN Specialist, Clinical Documentation to join our Revenue Integrity team in Denver, CO. The role focuses on concurrent and retrospective reviews to ensure documentation accuracy, billing compliance, and appropriate classification of patient status and charges.

You will educate providers on documentation specificity, query physicians as needed, and collaborate with Coding, HIM, Patient Safety and Quality, and Enterprise Compliance Services to support

Qualifications

• 4–6 years of hospital nursing experience.
• Experience in clinical coding, DRG coordination, or Medicaid/Medicare reimbursement.
• RN license (DORA) required.

Responsibilities

• Concurrent and retrospective reviews for documentation accuracy and billing compliance.
• Educate providers on documentation accuracy and query physicians as needed.
• Review and appeal clinical denials; track outcomes for Revenue Cycle reporting.
• Collaborate with CDI, HIM, UM, Revenue Cycle and other departments to improve billing practices.
• Participate in ongoing education on ICD-10, CMS rules and policies.

Skills

Communication skills

Nursing expertise

Medical documentation knowledge

Education

Associate's Degree

Tools

Excel

SharePoint

Job description

Denver Health is seeking a mission-driven RN Specialist, Clinical Documentation to join our Revenue Integrity team in Denver, CO. The role focuses on concurrent and retrospective reviews to ensure documentation accuracy, billing compliance, and appropriate classification of patient status and charges.

You will educate providers on documentation specificity, query physicians as needed, and collaborate with Coding, HIM, Patient Safety and Quality, and Enterprise Compliance Services to support