RN or BSN Clinical Documentation Integrity Specialist

Job Summary

A company is looking for a Clinical Documentation Integrity Specialist (RN) to support their Medicare Risk Operations team.

Key Responsibilities:

• Review medical records to ensure accurate and comprehensive documentation for HCC diagnoses
• Educate internal staff on clinical documentation and coding guidelines
• Develop professional relationships with medical providers and conduct review sessions

Required Qualifications:

• Minimum 3 years working as a Clinical Documentation Specialist (CDS) Nurse or Clinical Documentation Integrity (CDI) Nurse
• Must be a Registered Nurse (RN) or have a Bachelor's Degree in Nursing (BSN)
• Minimum of 3 years inpatient hospital nursing experience required
• CCS, CCDS or CDIP certification preferred
• Working knowledge of the Medicare Advantage reimbursement system and HCC Coding required