Clinical Documentation Coordinator - Full-Time

This role involves managing the Clinical Documentation Integrity (CDI) Program, overseeing daily workflow, and supporting medical staff and GME education under the supervision of the Regional Manager. Key Responsibilities Include Conducting concurrent and retrospective reviews of inpatient medical records to ensure accurate documentation of care, patient severity, and risk of mortality.Facilitating appropriate physician documentation to support accurate reimbursement and quality reporting.Ensuring compliance with external payer and regulatory requirements. Qualifications Include Associate’s degree in nursing (bachelor’s preferred) or medical degree from a recognized institution.Minimum of 2 years of clinical experience in acute care (critical care, surgical, or emergency nursing preferred).At least 1 year of clinical documentation integrity experience; knowledge of the Prospective Payment System and Diagnosis Related Group optimization required.Technical proficiency with electronic health records, coding software, and office equipment.Current RN license if a nurse; certifications such as CDIP, CCDS, CCS, or ICD-10 are preferred.Strong clinical knowledge, understanding of disease processes, inpatient admission criteria, and Medicare coding systems.Excellent communication and critical thinking skills, with the ability to work independently in a fast-paced environment. Additional Information Includes Opportunity for career growth within the organization.Commitment to diversity and equal employment opportunities.