Registered Nurse (RN) - CDI (Hybrid)
for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title. No Job ID etc. Remove boilerplate, navigation, legal, EEO, etc. Keep substantive info.
We need to parse the job posting.
Let's extract sections:
Job Summary: description about reviewing medical records, facilitating physician documentation, etc. That could be "About the role" or maybe "Job Summary". The instruction says use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we need to map content to these headings.
We have:
- Job Summary: description of role. Could be "About the role".
- Essential Duties And Responsibilities: list of duties (Record Review, CDI, Professional Development). That's "Responsibilities".
- Knowledge, Skills, Abilities: list of knowledge, skills, abilities. That could be "Skills" or "Qualifications". The instruction includes both Requirements and Qualifications sections. We need to decide where to put education/experience, certificates, etc. Likely "Qualifications" for education/experience/certificates. "Skills" for knowledge, skills, abilities. "Requirements" maybe for minimum requirements? But we have Education/Experience, Certificates, etc. Could treat "Qualifications" as education/experience/certificates. "Skills" as knowledge, skills, abilities. "Requirements" maybe for physical demands? Not sure. But we can include sections that have content.
We also have Physical Demands, Work Environment, etc. Those could be under "Requirements"? Not exactly. The instruction says include a section only when posting has real specific content for it. We have content for Physical Demands and Work Environment. Could we map them to "Requirements"? Might be okay but better to create separate sections? The allowed headings list is limited to those eight. We cannot create other headings. So we must fit content into those headings. If we have content that doesn't fit any, we might need to omit? But we must preserve all substantive information. We could put Physical Demands and Work Environment under "Requirements" as they are job requirements. Or under "Qualifications"? Probably "Requirements" is appropriate for physical demands and work environment.
Education/Experience and Certificates could go under "Qualifications". Knowledge, Skills, Abilities under "Skills". Responsibilities under "Responsibilities". About the role under "About the role". Benefits, Pay, Schedule: we need to see if posting mentions any. It mentions "competitive benefits package" but no specifics. It does not give specific benefits, pay, or schedule. So we should NOT include those sections because they would be filler (e.g., "competitive benefits package" is vague but still mentions benefits. However instruction: never emit a heading followed by filler/placeholder text (e.g., "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. It says "competitive benefits package" is a statement about benefits, but not specific. Is that considered substantive? It's vague but still mentions benefits. The instruction says never create Benefits section unless posting actually states them. It does state "competitive benefits package". That is a statement about benefits, albeit not detailed. Might be considered stating them? I'd lean to include Benefits section with that sentence. Pay and Schedule: not mentioned, so omit.
Thus we will have sections: About the role, Responsibilities, Qualifications, Skills, Requirements (physical demands, work environment, travel), Benefits.
Check if we need Requirements separate from Qualifications. We have both Education/Experience (qualifications) and Physical Demands (requirements). So we can have both.
Now we need to format lists using - for any list of duties/requirements/benefits, and
for prose.
We need to preserve all substantive information, not invent or summarize away detail. So we need to keep details like timeframes (24-48 hours), etc.
Let's extract content for each section.
About the role (Job Summary):
"Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians’ clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions and/or procedures. Educates members of the patient care team regarding documentation guidelines, including the following: attending physicians, allied health practitioners, nursing, and case management."
We should keep that as prose
.
Responsibilities (Essential Duties And Responsibilities Include the following. Others may be assigned.) Then list:
Record Review:
- Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) record in business partner designated CDI tool and/or host medical record system.
- Conducts follow-up reviews of patients every 24-48 hours or as needed up through discharge to support assigned working MS-DRG assignment upon patient discharge, as necessary.
- Formulate physician queries regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary.
- Collaborates with providers, case managers, nursing staff and other ancillary staff regarding documentation and to resolve physician queries prior to discharge.
CDI:
- Communicates/Completes Clinical Documentation Integrity (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up, provider education and DRG Miss-Match reconciliation.
- Assists with Provider education, rounding and communication regarding open queries for resolution.
Professional Development:
- Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD10-CM and PCS coding.
- Attends CDI Boot camp, CDI/coding trainings annually and quarterly for inpatient coding.
- Attends monthly education lecture series (MELS) and all CDI/coding assigned learn share modules as well as any additional required CDI education.
- Assist in training department staff new to CDI
- Performs other duties as assigned
We need to keep bullet points as
- . Could group under subheadings? Not allowed; only
headings. We could just have a flat list. But we might lose grouping. However we can keep the subheadings as plain text inside
- maybe. But better to keep as
- with the text including the subheading. Eg:
- Record Review: Completes initial medical records reviews...
. That preserves info.
We'll produce a with each duty as - .
Qualifications (Education / Experience, Certificates, Licenses):
Education / Experience Include minimum education, technical training, and/or experience required to perform the job. Preferred: Acute Care nursing and/or Provider relevant experience Zero (0) to two (2) years CDI experience Two (2) plus years’ nursing experience – Medical/Surgical/Intensive Care and/or Case/Utilization Review Two (2) plus years’ Provider experience – Medical/Surgical/Intensive Care and/or Case/Utilization Review Graduate from a Nursing program, BSN, or graduate program; OR Graduate from Medical Doctor and/or Foreign Medical Doctor Program CERTIFICATES, LICENSES, REGISTRATIONS Active state Registered Nurse license; OR Graduate MD and/or FMD license Preferred: CDIP or CCDS
We need to preserve all details. We'll put as
items.
Skills (Knowledge, Skills, Abilities):
Knowledge, Skills, Abilities To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. CDI Specialist must display teamwork and commitment while performing daily duties Must demonstrate initiative and discipline in time management and medical record review. Travel may be required to meet the needs of the facilities. Proficient knowledge of disease pathophysiology and drug utilization Intermediate knowledge of MS-DRG classification and reimbursement structures Critical thinking, problem solving and deductive reasoning skills. Effective written and verbal communication skills Excellent computer skills including MS Word/Excel Knowledge of coding compliance and regulatory standards Excellent organizational skills for initiation and maintenance of efficient workflow Regular and reliable attendance Capacity to work independently in facility on-site setting. Capacity to work independently in a virtual office setting if required for specific assignment. Exhibit flexibility as needed to meet program needs. Understand and communicate documentation strategies. Recognize opportunities for documentation improvement. Formulate clinically, compliant credible queries. Ability to successfully comply to robust auditing and CDI program monitoring Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
We need to keep as list items. Could break into separate - each sentence or phrase. We'll produce
with each distinct item.
Requirements (Physical Demands, Work Environment, Travel):
Physical Demands:
- Ability to sit for extended periods of time.
- Ability to stand for extended periods of time.
- Must be able to efficiently use computer keyboard and mouse.
- Good visual acuity
Work Environment:
- Other Must be able to travel as needed, not to exceed 10%.
- As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
But that last paragraph seems like marketing fluff; maybe we should keep as part of Work Environment? It's not exactly work environment but it's company description. Might be considered boilerplate? It's not navigation/legal/EEO. It's descriptive about company. Might be considered substantive? The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. This is not those. It's company overview. Could keep but maybe it's fluff. However we need to preserve ALL substantive information. This is substantive about company. We'll keep it.
But we also have EEO statements later duplicated; we need to remove those. The posting includes multiple EEO statements and legal stuff. We must remove them.
Thus for Work Environment we can include the travel statement and the company overview (maybe as a paragraph). We'll treat as .
Benefits: "competitive benefits package" mentioned. Also later: "Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!" That's benefits mention. We'll create Benefits section with that sentence.
We must not include Pay or Schedule.
Now we need to output only HTML fragment, no /, no markdown.
We'll produce:
About the role
...
Responsibilities
- Record Review: Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a)
- for any list of duties/requirements/benefits, and
for prose. We need to preserve all substantive information, not invent or summarize away detail. So we need to keep details like timeframes (24-48 hours), etc. Let's extract content for each section. About the role (Job Summary): "Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians’ clinical documentation. Exhibits a sufficient knowledge of clinical documentation requirements, MS-DRG Assignment, and clinical conditions and/or procedures. Educates members of the patient care team regarding documentation guidelines, including the following: attending physicians, allied health practitioners, nursing, and case management." We should keep that as prose
. Responsibilities (Essential Duties And Responsibilities Include the following. Others may be assigned.) Then list: Record Review: - Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) record in business partner designated CDI tool and/or host medical record system. - Conducts follow-up reviews of patients every 24-48 hours or as needed up through discharge to support assigned working MS-DRG assignment upon patient discharge, as necessary. - Formulate physician queries regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary. - Collaborates with providers, case managers, nursing staff and other ancillary staff regarding documentation and to resolve physician queries prior to discharge. CDI: - Communicates/Completes Clinical Documentation Integrity (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up, provider education and DRG Miss-Match reconciliation. - Assists with Provider education, rounding and communication regarding open queries for resolution. Professional Development: - Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD10-CM and PCS coding. - Attends CDI Boot camp, CDI/coding trainings annually and quarterly for inpatient coding. - Attends monthly education lecture series (MELS) and all CDI/coding assigned learn share modules as well as any additional required CDI education. - Assist in training department staff new to CDI - Performs other duties as assigned We need to keep bullet points as
- . Could group under subheadings? Not allowed; only
headings. We could just have a flat list. But we might lose grouping. However we can keep the subheadings as plain text inside
- maybe. But better to keep as
- with the text including the subheading. Eg:
- Record Review: Completes initial medical records reviews... . That preserves info. We'll produce a
- .
Qualifications (Education / Experience, Certificates, Licenses):
Education / Experience Include minimum education, technical training, and/or experience required to perform the job. Preferred: Acute Care nursing and/or Provider relevant experience Zero (0) to two (2) years CDI experience Two (2) plus years’ nursing experience – Medical/Surgical/Intensive Care and/or Case/Utilization Review Two (2) plus years’ Provider experience – Medical/Surgical/Intensive Care and/or Case/Utilization Review Graduate from a Nursing program, BSN, or graduate program; OR Graduate from Medical Doctor and/or Foreign Medical Doctor Program CERTIFICATES, LICENSES, REGISTRATIONS Active state Registered Nurse license; OR Graduate MD and/or FMD license Preferred: CDIP or CCDS
We need to preserve all details. We'll put as
- items.
Skills (Knowledge, Skills, Abilities):
Knowledge, Skills, Abilities To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. CDI Specialist must display teamwork and commitment while performing daily duties Must demonstrate initiative and discipline in time management and medical record review. Travel may be required to meet the needs of the facilities. Proficient knowledge of disease pathophysiology and drug utilization Intermediate knowledge of MS-DRG classification and reimbursement structures Critical thinking, problem solving and deductive reasoning skills. Effective written and verbal communication skills Excellent computer skills including MS Word/Excel Knowledge of coding compliance and regulatory standards Excellent organizational skills for initiation and maintenance of efficient workflow Regular and reliable attendance Capacity to work independently in facility on-site setting. Capacity to work independently in a virtual office setting if required for specific assignment. Exhibit flexibility as needed to meet program needs. Understand and communicate documentation strategies. Recognize opportunities for documentation improvement. Formulate clinically, compliant credible queries. Ability to successfully comply to robust auditing and CDI program monitoring Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
We need to keep as list items. Could break into separate
- each sentence or phrase. We'll produce
- with each distinct item.
Requirements (Physical Demands, Work Environment, Travel):
Physical Demands:
- Ability to sit for extended periods of time.
- Ability to stand for extended periods of time.
- Must be able to efficiently use computer keyboard and mouse.
- Good visual acuity
Work Environment:
- Other Must be able to travel as needed, not to exceed 10%.
- As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
But that last paragraph seems like marketing fluff; maybe we should keep as part of Work Environment? It's not exactly work environment but it's company description. Might be considered boilerplate? It's not navigation/legal/EEO. It's descriptive about company. Might be considered substantive? The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. This is not those. It's company overview. Could keep but maybe it's fluff. However we need to preserve ALL substantive information. This is substantive about company. We'll keep it.
But we also have EEO statements later duplicated; we need to remove those. The posting includes multiple EEO statements and legal stuff. We must remove them.
Thus for Work Environment we can include the travel statement and the company overview (maybe as a paragraph). We'll treat as
- Record Review: Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a)
. Benefits: "competitive benefits package" mentioned. Also later: "Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!" That's benefits mention. We'll create Benefits section with that sentence. We must not include Pay or Schedule. Now we need to output only HTML fragment, no /, no markdown. We'll produce:
About the role
...
Responsibilities
- each sentence or phrase. We'll produce
- with each duty as