As an RN Clinical Documentation Specialist, you will ensure clinical data integrity and serve as a key resource for medical documentation within a healthcare facility. Your role will involve reviewing medical records, educating medical professionals, and enhancing documentation quality.
Key Responsibilities
Ensuring the quality and integrity of clinical documentation
Serving as a resource for documentation practices
Performing concurrent reviews of medical records
Educating medical professionals on documentation requirements
Providing training on clinical documentation best practices
Managing documentation queries
Required Qualifications
Graduation from an accredited nursing program
Current registered nurse licensure
Basic Life Support (BLS) certification within 30 days of employment
Critical thinking skills
Decisive judgment
Ability to work with minimal supervision
Preferred Qualifications
One year of inpatient coding experience
Benefits & Perks
Opportunity to contribute to data integrity in a healthcare settingProfessional development opportunitiesSupportive work environment