HealthcareSupport Staffing logo

Clinical Documentation Specialist - Registered Nurse

HealthcareSupport Staffing

Moreno Valley, CAContractPosted 11y agoStill listed 4 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
Contract
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.

RN Lic In CA

Job overview

HealthcareSupport Staffing is hiring a Clinical Documentation Specialist - Registered Nurse. The Clinical Documentation Specialist (Registered Nurse) will work onsite at the hospital, reviewing Medicare cases and identifying working DRGs using the 3M encoder. This role involves writing queries, conducting follow-ups, and resolving questions to ensure clinical documentation is clear, concise, and accurate. The specialist will also contribute to improving concurrent documentation practices through ongoing education.

Key focus areas include Review in-house Medicare cases, Identify working DRG using the 3M encoder, and Write queries.

Successful candidates bring RN License CA, Acute Care Experience, and Clinical Documentation Experience. Important skills include 3M Encoder, Write Queries, Follow-Up, Resolve Questions, Clinical Documentation, and ICD-9 CM Coding Principles.

Skills & qualifications

RequiredNice to have

Skills

3M EncoderWrite QueriesFollow-UpResolve QuestionsClinical DocumentationICD-9 CM Coding PrinciplesCPT-4 Coding PrinciplesState Reimbursement SystemsFederal Reimbursement SystemsPrivate Reimbursement SystemsAnalyze Large Amounts of DateProblem SolverMulti-TaskComputer SkillsCharting SoftwaresMS Office SuiteLotus Notes

Qualifications

RN Lic in CAClinical Experience in Acute Care EnvironmentExperience in Practice of Clinical DocumentationExperience in Nursing Health InformationExperience in Case ManagementExperience in Quality ManagementCurrent CDI CertificationCDI Certification Within 18 Months of Employment Through ACDIS

Full job description

  • CDI Registered Nurse will be working onsite at the Hospital.

  • Registered nurses will review our in-house Medicare cases. We will need them to identify the working DRG using the 3M encoder, write queries, do follow-up, and resolve any questions.

  • The 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 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.

  • 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 analyze large amounts of date, and be a problem solver

  • Ability to multi-task

  • RN Lic in CA – Required

  • Clinical experience in acute care environment- Required

  • Experience in practice of clinical documentation; nursing health information, case management, quality management or similar related fields – Required

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

  • Current CDI certification (must obtain within 18 months of employment through Association of Clinical Documentation Improvement Specialist/ACDIS)-Highly Desired

Excellent pay and opportunity at a large local hospital system. Interviewing and hiring right away

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