RN Clinical Documentation Specialist

About the role

Facilitate the improvement in the overall quality and completeness of medical record documentation.

Responsibilities

• Obtain appropriate clinical documentation through extensive interaction with physicians, nursing, patient caregivers, and coders.
• Ensure that appropriate patient-centered clinical data, quality metrics, and reimbursement are received for the level of services rendered.
• Maintain clinical information used in profiling and reporting outcomes is complete and accurate.
• Maintain ongoing education relative to CDI/ACDIS/AHIMA and the Coding Clinic.

Requirements

• Current Alabama Nursing License.
• CCDS Certification preferred or will obtain post 2-3 years.
• Experience: Prefer at least 3-7 years of experience in an acute care hospital setting. Prefer at least 1 year of CDI experience, if no prior CDI experience, applicant will be educated to current standards.

Qualifications

• Graduate of an accredited school of nursing.
• Associates Degree in Nursing or BSN, MSN.

Skills

• Medical/Surgical Nursing Experience.
• Critical Care Nursing Experience.
• Word and Excel experience preferred.
• Time Management skills.
• Self-Motivated.
• Critical Thinking.

Benefits

We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; nurse residency program; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more!