Clinical Documentation Improvement Nurse

Principal Duties And Responsibilities

• Collaborate with coding and clinical teams to enhance the accuracy and completeness of diagnosis coding across GBMC outpatient practices, supporting risk adjustment and reimbursement optimization efforts.
• Lead or support pre-visit documentation reviews to identify documentation gaps, coding opportunities, and clinical indicators requiring clarification prior to patient encounters.
• Contribute to both the strategic improvement and direct maintenance of patient problem lists in the electronic medical record (EMR), ensuring accuracy, relevance, and alignment with current clinical status, diagnoses, and coding standards.

Physical Requirements

• Ability to sit up to 90% of work time.
• Ability to concentrate and pay close attention to detail when typing and proofing for up to fifty (50%) percent of work time.
• Ability to travel to multiple locations and cover multiple practices, as needed.

Working Conditions

• Primarily an ambulatory care setting, interviewing, assessing and educating patients and families, working with interdisciplinary staff up to 70% of time.
• Remainder of time in office environment.

Conditions of Employment

• Maintain current and valid licensure and certifications.

GBMC Values

• Respect: Treats everyone with courtesy. Fosters a healing environment. Treats others with fairness, kindness, and respect for personal dignity and privacy. Listens and responds appropriately to others’ needs, feelings, and capabilities.
• Excellence: Strives for superior performance in every aspect of work. Recognizes and celebrates the accomplishments of others. Meets and/or exceeds customer expectations. Actively pursues learning and self-development. Pays attention to detail; follows through.
• Accountability: Acts professionally in the way one acts, looks, and speaks. Takes ownership to solve problems. Sets a positive, professional example for others. Takes ownership of problems and does what is needed to solve them. Appropriately plans and utilizes required resources for various job duties. Reports to work regularly and on time.
• Teamwork: Engages and collaborates. Keeps people informed. Works cooperatively and collaboratively with others for the success of the team. Addresses and resolves conflict in a positive way. Seeks out the ideas of others to reach the best solutions. Acknowledges and celebrates the contribution of others.
• Ethical Behavior: Acts with honesty and integrity. Protects the patient. Demonstrates honesty, integrity, and good judgment. Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers.
• Results: Sets goals and measures outcomes that support organizational goals. Gives and accepts help to achieve goals. Embraces change and improvement in the work environment. Continuously seeks to improve the quality of products/services. Displays flexibility in dealing with new situations or obstacles. Achieves results on time by focusing on priorities and managing time efficiently.

Pay Range

$73,465.95 - $126,056.34

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.