Registered Nurse, Clinical Documentation Specialist – CDIP, CCDS

🕒 6 days ago

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Northeast Georgia Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

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.

📋 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