Clinical Documentation Integrity Specialist - RN - Remote

Overview

The Clinical Documentation Integrity Specialist Registered Nurse (RN) plays a crucial role in ensuring the accuracy and integrity of patient documentation in a healthcare setting. This position is remote but requires candidates to be local to the New England States.

In Short

• Remote position requiring local candidates from New England States.
• Assist with identification of diagnoses and procedures during inpatient stays.
• Initiate queries to providers based on medical record documentation.
• Collaborate with coding and clinical staff to improve documentation quality.
• Educate healthcare providers on documentation improvement practices.
• Conduct reviews of patient records and track details using 3M software.
• Maintain confidentiality of all hospital information.
• Requires RN license and 3-5 years of clinical nursing experience.
• Experience with computer systems and Microsoft Office applications is required.
• Continuous learning and professional development encouraged.

Requirements

• Associate’s degree required; Bachelor's preferred.
• RN license is required.
• 3-5 years of related clinical nursing experience.
• Experience with DRG Reimbursement and ICD-10 Coding preferred.
• Certified Clinical Documentation Specialist (CCDS) or CDIP preferred.
• Ability to work collaboratively with healthcare teams.
• Strong communication and educational skills.
• Flexibility in adapting to changing work environments.
• Knowledge of inpatient coding guidelines.
• Proficiency in web-based applications and Microsoft Office.

Benefits

• Comprehensive compensation and benefits package.
• Opportunities for continuous learning and professional growth.
• Supportive and collaborative work environment.
• Focus on employee health and work-life balance.
• Commitment to diversity and inclusion in the workplace.