Join the University of New Mexico - Hospitals as an RN Clinical Document Specialist, where you will play a vital role in improving clinical documentation through concurrent reviews and effective communication with healthcare professionals. Help enhance patient care quality while ensuring adherence to coding guidelines.
Key Responsibilities
Conduct concurrent review of clinical documentation
Communicate documentation findings with physicians and caregivers
Utilize abstracting and data entry software for coding and reporting
Provide training on appropriate clinical documentation
Facilitate communication between departments to ensure accurate documentation
Identify and implement process improvement plans
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)