Registered Nurse, Clinical Documentation Specialist – CDIP, CCDS Required

12 hours ago

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Northeast Georgia Health System

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Healthcare Insurance

Northeast Georgia Health System is a healthcare organization dedicated to improving the health of the community it serves. With a presence that includes 5 hospitals, 6 urgent care locations, and more than 110 doctor's offices, imaging centers, cancer treatment centers, and laboratories, the system offers a comprehensive range of medical services. It provides career opportunities in various areas, including nursing, allied health, and support services, as well as residencies and fellowships for healthcare professionals. The organization is committed to its mission through adherence to core values, offering employee benefits, and engaging in community activities. With locations providing access to both metropolitan and natural amenities, it emphasizes quality of life for employees and residents in Northeast Georgia.

10,000+ employees

⚕️ Healthcare Insurance

📋 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