HealthcareSupport Staffing logo

RN Clinical Documentation Specialist

HealthcareSupport Staffing

Moreno Valley, CAFull-timePosted 10y agoStill listed 5 days ago

Evaluate my fit

Most applications go out cold — see where you stand first. No sign-up to start.

Watch jobs like this.

Don't just apply. Show up ready.

Olive works from this exact posting.

At a glance

Compensation
No compensation found
Location
Moreno Valley, CA
Schedule
Full-time
Work Authorization
Not specified

Olive lists jobs from US employers, including remote roles you can work from the United States.

Requirements

Credentials this posting asks for.

Registered Nurse In CACDI Certification Within 18 Months Of Employment Through ACDISCurrent CDI Certification

Job overview

HealthcareSupport Staffing is hiring a RN Clinical Documentation Specialist. The Registered Nurse CDI Specialist ensures patient records contain clear, concise, and clinically accurate documentation to meet CDI program goals. This role involves improving concurrent documentation practices through ongoing education and collaborating with physicians on clinical documentation, coding, and reimbursement processes to achieve quality and productivity targets.

Key focus areas include Ensure patient records contain clear, concise, clinically accurate documentation, Improve concurrent documentation practices through ongoing education, and Collaborate with physicians, coding, and reimbursement staff to meet quality goals.

Successful candidates bring Registered Nurse CA License, 5+ Years Acute Care Experience, and Knowledge of CA State Charting Requirements. Important skills include Clinical Documentation, Coding, Reimbursement Processes, Knowledge Of CA State Charting Requirements, Knowledge Of All State, Federal And Private Reimbursement Systems, and Work Effectively With Physicians, Nurses And Ancillary Staff.

Skills & qualifications

RequiredNice to have

Skills

Clinical DocumentationCodingReimbursement ProcessesKnowledge of CA State Charting RequirementsKnowledge of All State, Federal and Private Reimbursement SystemsWork Effectively With Physicians, Nurses and Ancillary StaffProvide Education to Diverse Group/TeamsComputer SkillsCharting SoftwaresMS Office SuiteLotus NotesAnalyze Large Amounts of DateIdentify Problems, Patterns, TrendsFacilitate Improvement ActionsMulti-TaskTake Initiative to Suggest Process ImprovementsOrganizationAnalytical Skills to Identify Patterns and TrendsRead and Communicate Effectively in English

Qualifications

Registered Nurse in CA5+ Years Clinical Experience in Acute Care EnvironmentCDI Certification Within 18 Months of Employment Through ACDISExperience in Practice of Clinical DocumentationCurrent CDI Certification

Full job description

  • The Registered Nurse CDI Specialist is an integral part of the healthcare team and is responsible for ensuring that the patient record contains clinical documentation that is clear, concise, and clinically accurate to meet the goals of the CDI program.

  • The Registered Nurse CDI Specialist serves as part of the team responsible for improving the concurrent documentation practices in the hospital through ongoing education and works with physician clinical documentation, coding and reimbursement processes towards achieving quality and productivity goals

Hours for this Position:

Monday – Friday Day time shift

Requirements:

  • Registered Nurse in CA, unrestricted license

  • Minimum of five (5) years clinical experience in acute care environment

  • Current CDI certification preferred (must obtain within 18 months of employment through Association of Clinical Documentation Improvement Specialists/ACDIS)

  • Experience in practice of clinical documentation: nursing health information, case management, quality management or similar related field

  • Knowledge of CA State charting requirements

  • Knowledge of diagnoses/procedures in accordance with ICD-9 CM & CPT-4 coding principles

  • Knowledge of all state, federal and private reimbursement systems

  • Ability to work effectively with physicians, nurses and ancillary staff in a collaborative manner

  • Ability to provide education to diverse group/teams within the healthcare environment.

  • Proficient in computer skills with many softwares including, but not limited to, charting softwares, MS Office Suite, Lotus Notes.

  • Ability to analyze large amounts of date, identify problems, patterns, trends/facilitate improvement actions needed

  • Ability to multi-task and take initiative to suggest process improvements

  • Proven organization, analytical skills to identify patterns and trends.

  • Ability to read and communicate effectively in English

INTERESTED IN BEING CONSIDERED? Take the next step! Click on the green I'M INTERESTED button to submit your resume for review. Or send your resume to Kurt Hughes directly at kurt@healthcaresupport. com

All your information will be kept confidential according to EEO guidelines.

Similar jobs, posted recently

Open roles like this one, listed in the last 30 days.

You've read the whole posting — now see how you match it.

Evaluate my fit