Registered Nurse, Clinical Documentation – CDI Educator/Auditor, CCDS Required

🔥 12 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

👻 Ghost score 10%

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Northeast Georgia Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • 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

• Participate in daily Clinical Documentation Department activities • Facilitate documentation improvements to accurately depict clinical services and patient severity • Perform department audits and second-level reviews • Provide orientation, training, and education for CDI staff • Support focused provider education and ongoing physician education • Maintain knowledge of program metrics and support timely, accurate data reporting • Use 3M-360 applications to identify learning needs of CDI nurses, residents, physicians, and administrative staff • Provide day-to-day educational support for clinical documentation priorities • Function as a Clinical Documentation Specialist when not engaged in educational activities • Review CDS productivity reports and meet quarterly with each CDS team member • Manage reconciliation processes and conduct internal audits for feedback, data accuracy, and performance improvement • Manage process flow and communication and education plans, including onboarding and continuing education • Coordinate with Clinical Documentation Specialists, CDI Associate, administrative support, and the manager • Partner with HIM and Clinical Documentation leadership on education, training, and coding guidelines • Monitor documentation against core-measure quality indicators and address opportunities with physicians and advanced health practitioners • Collaborate with patient safety and coding teams to maintain accuracy of codes associated with patient safety indicators

🎯 Requirements

• Current Registered Nurse license in the State of Georgia • Clinical Documentation Specialist (CCDS) certification required • Bachelor's degree • 5–10 years of clinical nursing experience • 3–5 years of clinical documentation experience • Comprehensive knowledge of acute med-surg, critical care, and cardiology nursing • Excellent verbal and written communication, interpersonal, collaboration, critical thinking, prioritization, and organization skills • Excellent computer skills, including Microsoft Office applications • Experience with databases, spreadsheets, and presentation software • Ability to develop and implement strategic direction and vision for project management and work priorities • Advanced analytical skills in health information workflow analysis and planning • Knowledge of hospital organization/administration and applicable health information management and CDI laws • Knowledge of Medicare Part A and Part B guidelines • Ability to communicate clearly with stakeholders orally and in writing • Ability to work independently in a collaborative, shared-leadership environment

🏖️ Benefits

• Full-time employment • Equal opportunity employment