California Licensed RN Clinical Documentation Specialist

A company is looking for an RN Clinical Documentation Integrity Specialist - Remote. Key Responsibilities Conduct concurrent and retrospective reviews of inpatient medical records to evaluate documentation quality and utilization of acute care services Facilitate collaboration between clinical reviews, medical record coders, and physicians to enhance documentation and reimbursement accuracy Analyze patient information to identify documentation gaps and ensure accurate representation of patient severity and care intensity Required Qualifications, Training, and Education Associate's degree in nursing required; Bachelor's degree preferred Minimum of five years of recent clinical experience in an acute care setting required At least three years of recent experience performing CDI reviews in an inpatient acute care setting required Current Registered Nurse license in the State of California required Certification as a Certified Clinical Documentation Specialist (CCDS) or Certified Clinical Improvement Practitioner (CDIP) required

Apr 10, 2025 - 07:37

A company is looking for an RN Clinical Documentation Integrity Specialist - Remote. Key Responsibilities Conduct concurrent and retrospective reviews of inpatient medical records to evaluate documentation quality and utilization of acute care services Facilitate collaboration between clinical reviews, medical record coders, and physicians to enhance documentation and reimbursement accuracy Analyze patient information to identify documentation gaps and ensure accurate representation of patient severity and care intensity Required Qualifications, Training, and Education Associate's degree in nursing required; Bachelor's degree preferred Minimum of five years of recent clinical experience in an acute care setting required At least three years of recent experience performing CDI reviews in an inpatient acute care setting required Current Registered Nurse license in the State of California required Certification as a Certified Clinical Documentation Specialist (CCDS) or Certified Clinical Improvement Practitioner (CDIP) required