Registered Nurse, Clinical Documentation Specialist – CDIP, CCDS

Job Description:

• Improving the overall quality and completeness of clinical documentation
• Modifying clinical documentation through interaction with Physicians, Nursing staff, other patient caregivers, and medical records coding staff
• Ensuring appropriate reimbursement is received for services rendered
• Educating all members of the patient care team on clinical documentation
• Conducting admission/continued stay reviews using the Compliant Documentation Program Management (CDMP) guidelines
• Monitoring documentation against "core measure" quality indicators and addressing non-compliance documentation
• Collaborating with coding staff to assign the "working" DRG to contribute for IDT Rounds
• Maintaining a leadership role to ensure compliant documentation
• Organizing and performing work effectively and efficiently

Requirements:

• Current RN Licensure in the State of Georgia
• Associates Degree
• Minimum of five (5) years in the practice of professional nursing
• CCDS or CDIP certifications preferred
• Bachelor's Degree in Nursing preferred
• Additional education in Finance, Healthcare regulations, and diagnoses-procedure coding preferred
• Experience in Healthcare Utilization and Revenue Management preferred
• Working knowledge of DRG coding optimization strategies and clinical documentation requirements
• Familiar with ICD10 coding conventions, anatomy and physiology, medical terminology, MSDRG reimbursement, coding software
• Excellent analytical thinking, problem-solving abilities, and written and verbal communication skills

Benefits:

• Health insurance
• 401(k) matching
• Paid time off
• Flexible work hours
• Professional development opportunities