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RN - Registered Nurse Clinical Documentation Improvement Specialist Senior (CCDS Certification Required)
PayCompetitive
LocationDanville/Pennsylvania
Employment typeFull-Time
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Job Description
- Req#: R-74000
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Full benefits (health, dental, and vision) starting on day one
- Competitive compensation package with generous paid time off (PTO)
- Up to $5,000 in tuition reimbursement per calendar year
- Opportunity for career advancement and professional development
- Family-friendly support including parental leave pay and adoption assistance
- Work remotely from the comfort of your home in Pennsylvania
What to Expect (Job Responsibilities):
- Review inpatient medical records within 24 to 48 hours of admission to evaluate documentation for accurate diagnosis and risk assessment
- Conduct follow-up reviews every three days to support and assign working DRG upon discharge
- Formulate queries for missing, conflicting, or unclear documentation
- Provide ongoing education to physicians and healthcare providers on clinical documentation improvement
- Collaborate with nursing staff and other healthcare professionals to resolve documentation queries before patient discharge
What is Required (Qualifications):
- Minimum of 3 years of RN work experience
- Current certification as a Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)
- Graduate from a Specialty Training Program in Nursing
- Basic Life Support Certification
- Licensed Registered Nurse in Pennsylvania
How to Stand Out (Preferred Qualifications):
- Bachelor's Degree in Nursing (BSN) strongly preferred
- Experience in clinical documentation improvement
- Strong analytical and interpersonal communication skills
- Familiarity with healthcare coding and documentation standards
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