RN Clinical Documentation Specialist | Sign-On Bonus

Jobtome; Los Lunas (NM); Sur place; USD 70 000 - 95 000; Plein temps

Avantages offerts par ce poste

Sign-On Bonus Available

Relocation Assistance Available

Résumé du poste

Jobtome in New Mexico is seeking an experienced Registered Nurse for the HIM Clinical Documentation team. This full-time position focuses on concurrent reviews and documentation improvement to support accurate DRG assignment and severity of illness during patient stays.

The role emphasizes communication with physicians, training, and adherence to HIPAA while maintaining high standards of accuracy and confidentiality.

Qualifications

• Experience in clinical documentation improvement and coding concepts.
• Ability to review diagnoses, procedures, and DRG assignments.
• Knowledge of HIPAA and confidentiality requirements.

Responsabilités

• REVIEW: identify and record principal and secondary diagnoses and procedures.
• CONCURRENT REVIEW: perform initial and ongoing reviews for admissions.
• COMMUNICATION: obtain clarification from physicians via queries.
• COORDINATION: liaise with HIM, Utilization Review, and Quality teams.
• EDUCATION: train providers on documentation and coding practices.
• COMPLIANCE: ensure documentation supports severity of illness.

Connaissances

Documentation improvement

Concurrent review

Physician communication

Query management

HIPAA compliance

Formation

Program Graduate

Bachelor's Degree

Outils

MS-DRG worksheets

Coding guidelines

Description du poste

Jobtome in New Mexico is seeking an experienced Registered Nurse for the HIM Clinical Documentation team. This full-time position focuses on concurrent reviews and documentation improvement to support accurate DRG assignment and severity of illness during patient stays.

The role emphasizes communication with physicians, training, and adherence to HIPAA while maintaining high standards of accuracy and confidentiality.