Clinical Documentation Registered Nurse RN- Hybrid

Clinical Documentation Registered Nurse RN - Remote $10K Sign On Bonus

Job Summary:

Responsible for reviewing medical records to obtain appropriate physician documentation for clinical conditions or procedures to support severity of illness, expected risk of mortality, and complexity of care. Improves the quality of physicians’ clinical documentation and educates the patient care team on documentation guidelines.

• Record Review:
  Complete initial medical records reviews within 24-48 hours of admission for a specified patient population to evaluate documentation for accurate MS-DRG assignment, risk of mortality, and severity of illness; initiate a review worksheet.
• Follow-up Reviews:
  Conduct follow-up reviews every 2-3 days to support and assign a working or final MS-DRG at discharge, as necessary.
• Physician Queries:
  Formulate queries for missing, unclear, or conflicting documentation and obtain additional documentation as needed.
• Collaboration:
  
  Work with case managers, nursing staff, and other ancillary staff to interact with physicians and resolve queries prior to discharge.
• Training:
  Assist in training department staff new to CDI.
• Professional Development:
  Stay current with AHA Official Coding and Reporting Guidelines, CMS directives for ICD-9-CM and CPT coding; attend required coding seminars, quarterly Coding Clinic reviews, and CDI education.
• CDI
  
  Activities:
  
  Communicate and complete Clinical Documentation Improvement (CDI) activities and follow up on coding issues for resolution.
• Other duties as assigned.

• Teamwork, initiative, and time management
• Ability to travel nationally up to 10% as needed
• Advanced knowledge of Medicare Part A, familiarity with Part B; intermediate knowledge of disease pathophysiology, MS-DRG classification, and reimbursement
• Strong critical thinking, problem solving, and communication skills
• Knowledge of coding compliance and regulatory standards; ability to apply coding conventions and Coding Clinic guidance
• Ability to maintain auditing and monitoring of query processes and documentation strategies

• Preferred:
  Acute Care nursing experience
• Zero to two years experience
• Graduate from a Nursing program (BSN or higher)

• Active state Registered Nurse license
• Preferred: CDIP or CCDS

• Ability to sit for extended periods and use computer equipment
• Good visual acuity

• Travel nationally as needed, up to 10%

As part of the Tenet and Catholic Health Initiatives family, Conifer Health delivers healthcare expertise to clients nationwide. Employment practices will not be influenced by race, color, religion, sex, national origin, age, disability, genetic information, or any other protected status. Tenet will provide reasonable accommodations for qualified individuals with disabilities unless doing so would cause undue hardship.

Pay: $72,508.80 - $ annually. Individual wages are determined based on qualifications and experience.

• Medical, dental, vision, disability, and life insurance
• PTO (min 12 days/year)
• 401k with up to 6% employer match
• Paid holidays and flexible spending accounts
• Employee Assistance and discount programs
• Voluntary benefits options

Other notes:
Sign-on bonus of $10,000 is mentioned for eligible candidates.