Job Description

Registered Nurse – Clinical Documentation Improvement Specialist

Qualifications:

• Active RN license in the state of employment.
• Bachelor’s degree in Nursing (BSN) preferred.
• Minimum of 2 years of experience in clinical documentation improvement (CDI), case management, or utilization review.
• Familiarity with ICD-10, DRG coding, and healthcare reimbursement methodologies.
• Strong analytical and critical-thinking skills.
• Experience with electronic health records (EHR) and clinical documentation systems.

Duties:

• Review medical records to ensure accurate and complete documentation.
• Collaborate with physicians and clinical staff to improve documentation quality.
• Identify opportunities for specificity in diagnoses and treatment plans.
• Educate healthcare providers on documentation best practices.
• Work with coding teams to ensure accurate reimbursement.
• Maintain compliance with regulatory and accreditation requirements.

Pay:

• Medium weekly pay range: $2,100 - $2,600

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