RN Clinical Documentation Specialist - Fullerton California

Company: VirtualVocations
Location: Fullerton, California
Posted On: 11/19/2024

A company is looking for an RN Clinical Documentation Specialist to improve the quality and accuracy of clinical documentation.



Key Responsibilities:

Assign codes based on documentation to determine working DRG
Analyze medical records to identify documentation gaps and compose queries for clarification
Educate clinicians on clinical documentation improvement concepts and coding guidelines


Required Qualifications, Training, and Education:

Graduate of a nationally accredited Nursing program; RN licensure in Idaho or multistate compact
Minimum 3 years of patient-facing RN experience; ADN or diploma required, BSN preferred
At least 5 years of acute care clinical experience, preferably in ED, critical care, or cardiology
Current certification in CDIP or CCDS, or willingness to obtain after 2 years of CDI experience
Previous experience in clinical documentation and DRG/coding background preferred More...

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