RN Clinical Documentation Improvement Specialist

🔥 0 minutes ago

🏈 Alabama, Kentucky, +4 more states – Remote

🏈 Alabama – Remote 🐎 Kentucky – Remote 🌲 North Carolina – Remote 🎸 Mississippi – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

💵 $52k - $97.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

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R1 RCM

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

💼 Consulting

📦 Logistics

🏥 Healthcare

💰 Private Equity Round on 2024-07

Consulting • Logistics • Healthcare

R1 RCM is a leading provider of revenue cycle management solutions for the healthcare industry. With an emphasis on maximizing financial performance and optimizing patient care, R1 offers a comprehensive platform that integrates data analytics, intelligent technologies, and deep expertise in revenue cycle management. The company assists healthcare providers—ranging from hospitals and health systems to physician and specialty care practices—in capturing revenue opportunities, improving payer and patient cash flows, and ensuring compliance with government regulations. R1 is committed to driving cost reductions and revenue improvements while enhancing the patient experience. Their suite of services includes revenue recovery, clinical integrity, and regulatory navigation, making them a trusted partner for many top healthcare providers.

📋 Description

• Conduct clinically based concurrent and retrospective reviews of inpatient medical records • Evaluate clinical-service documentation and identify opportunities to improve medical record quality • Conduct mortality reviews, PSI reviews, and other focused reviews identified by CDI leadership • Facilitate and obtain physician documentation supporting severity of illness, expected risk of mortality, and complexity of care • Initiate physician interaction through the query process and/or participation in physician rounding • Educate physicians and staff on documentation requirements, coding guidelines, and reimbursement policies • Assign working DRGs and review patient records throughout hospitalization for coding specificity • Collaborate with coders, auditors, quality improvement teams, and other stakeholders to resolve documentation issues • Participate in documentation improvement initiatives and formal and informal education plans • Stay current on clinical documentation standards, coding rules, and regulatory requirements

🎯 Requirements

• Associate’s Degree in Nursing required; Bachelor’s Degree in Nursing preferred • Active US RN license required • Front line CDI experience in an acute care hospital • Three to five years of recent clinical work experience in medical-surgical, ICU, telemetry, and/or emergency department settings • Knowledge or experience with electronic medical records (EMR) platforms and CDI platforms • Highly skilled in CDI practices, coding, and documentation requirements related to quality outcomes and reimbursement • Knowledge of CMS rules and regulations • Clinical experience in ICU, medical-surgical, telemetry, or emergency department • Ability to work with Hospital coding code set, Federal and State coding reimbursement guidelines, and Coding Clinic Guidelines

🏖️ Benefits

• Annual bonus plan at a target of 5.00% • Competitive benefits package • Opportunities to learn, collaborate across groups, and explore new career paths • Opportunity to contribute meaningful work and give back to the community