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Job Description
Join the University of New Mexico Hospitals as an RN Clinical Document Specialist, where you'll enhance clinical documentation through collaboration with healthcare teams, ensuring accurate patient records that reflect the severity of illness and resource consumption. This role allows you to make a significant impact on patient care quality while working in a supportive environment.
Key Responsibilities
Conduct concurrent reviews of clinical documentation
Communicate documentation findings with physicians
Utilize abstracting and data entry software
Provide training for providers on clinical documentation
Ensure adherence to hospital policies and procedures
Required Qualifications
Program Graduate
RN in NM or as allowed by reciprocal agreement by NM
1 year directly related experience
Preferred Qualifications
Bachelor's Degree
Documentation improvement experience
Certified Coding Specialist
Certified Doc Improvement Prac/Spec (CDIP or CDIS)