Registered Nurse, Clinical Documentation Specialist – CDIP, CCDS Required
Job Description:
• Responsible for improving the overall quality and completeness of clinical documentation
• Facilitates modifications to clinical documentation through interaction with Physicians and other staff
• Conducts admission/continued stay reviews using Compliant Documentation Program Management guidelines
• Works collaboratively with coding staff to assign working DRG
• Monitors documentation against quality indicators and addresses non-compliance documentation
• Educates staff on clinical documentation opportunities and coding methodologies
• Participates in efforts to contain costs and generate revenue
Requirements:
• Current RN Licensure in the State of Georgia
• Associate's Degree
• Five (5) years in the practice of professional nursing
• CCDS or CDIP certification preferred
• Bachelor's Degree in Nursing preferred
• Familiar with DRG coding optimization strategies and clinical documentation requirements
• Must demonstrate excellent observation skills, analytical thinking, problem-solving abilities
• Working knowledge of ICD10 coding conventions, anatomy and physiology, medical terminology
• Ability to be self-directed
• Leadership skills required
• Familiar with coding software (preferably 3M 360 Encompass)
Benefits:
• Opportunities for professional development
• Team invested in employee growth
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