What are the responsibilities and job description for the Registered Nurse - Clinical Document Improvement Specialist position at Health Marketing?
Role: Registered Nurse (RN) Clinical Document Improvement Specialist responsible for reviewing inpatient medical records to ensure complete, accurate, and compliant documentation.
- Responsibilities: Perform concurrent and retrospective reviews, support accurate coding and DRG assignment, identify documentation gaps, and collaborate with providers, coders, and quality teams to clarify documentation for clinical, financial, and regulatory purposes.
- Qualifications: Minimum associate’s degree in nursing, with preferred bachelor’s degree. Valid NYS RN licensure or eligibility required. Knowledge of encoding systems, Excel, and previous coding experience is advantageous.
- Certifications: Preferred certifications include CCS, CIC, or CCDS.
- Skills: Strong clinical knowledge, critical thinking, attention to detail, and ability to work independently in various environments (remote, hybrid, onsite).
- Key Duties: Review medical records, support accurate documentation, facilitate provider clarification, and ensure compliance with coding and reporting standards.