RN – Clinical Documentation Integrity Specialist

• Function as a liaison between clinicians and coders
• Work as an expert source for information regarding the impact of documentation on patient care, quality outcomes measures, risk of mortality/severity of illness indicators, and accurate reimbursement
• Work under the direction of the Clinical Documentation Integrity Supervisor, conduct concurrent review of inpatient medical records-seeking clarification of documentation before the patient is discharged

Requirements

• Associate's Degree in Registered Nursing Required
• Bachelor's Degree of Science in Nursing (BSN) Preferred
• 3 years nursing, case management, utilization review or quality resources experience in an acute care setting Required
• 3 years Clinical Documentation Integrity experience highly desirable Preferred
• 5 years nursing, case management, utilization review, or quality resources experience in an acute care setting Preferred
• Licensed as a Registered Nurse (RN) in the State of WI or holds a license issued by a jurisdiction that has adopted the nurse licensure compact Upon Hire Required
• Certified Clinical Documentation Specialist Preferred or
• Certified Documentation Improvement Practitioner Preferred

Core Competencies

Demonstrates expertise in Clinical Documentation Integrity, ensuring accurate documentation impacts patient care and quality outcomes. Proficient in conducting concurrent reviews of medical records and liaising between clinicians and coders.

Highest-signal resume keywords

• Clinical Documentation Integrity
• Registered Nurse (RN) License
• Nursing Experience in Acute Care
• Certified Clinical Documentation Specialist
• Utilization Review

ATS Optimization Keywords

Hard Skills

• Clinical Documentation Review
• Patient Care Quality Outcomes
• Risk of Mortality Indicators
• Severity of Illness Indicators
• Documentation Impact Analysis

Soft Skills

• Communication
• Collaboration
• Liaison Skills

Certifications & Qualifications

• Certified Clinical Documentation Specialist
• Certified Documentation Improvement Practitioner

Industry Keywords

• Acute Care Setting
• Case Management
• Utilization Review
• Quality Resources
• Documentation Clarification