(Archived) RN - Registered Nurse - Clinical Documentation Specialist

RN/ Documentation Specialist. Large Baltimore and DC based hospital system

-Small relocation is available. Currently all Work from home but previously was split between home and in offices

Rates DOE 80K-100K

1 year of experience required at minimum.

Requirement: past experience in inpatient, outpatient, compliance, medical necessity, charge master coding quality improvement, or surgical clinical documentation improvement.

• 1 year in clinical documentation
• Be familiar with government health care reimbursement systems
• Familiarity with Quality Programs
• Coding experience preferred

Work Experience

2 years of experience in the field of quality improvement, medical record/health information administration, acute care, clinical documentation and/or coding

Hospital experience is a must

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Requires Successful Completion Of A RN Accredited Program (OR PA)

Requires RN degree from an accredited School of Nursing,

Skills

• Ability to provide leadership and direction to CDE Staff in collaboration with CDE leadership team members
• Experience with 3M HIS products preferred
• Ability to analyze healthcare data required
• Robust interpersonal, communication (verbal, non-verbal, and listening) skills. Experience in developing and presenting education programs
• An understanding of adult learning theory and instructional design.
• Requires analytical ability in order to complete tasks assigned, gather and interpret data from different courses, and resolve problems
• Must be able to read and understand coding guidelines. Must be able to maintain patient confidentiality

Required Licensure Certification, Etc.

RN: Must possess current licensure to practice as RN in State of Maryland or another state that participates in the Nurse Licensure Compact.
PA: Must possess current licensure to practice as a PA by the Maryland Board of Physicians. Board certified by the National Commission on Certification of Physician Assistants (NCCPA).

Certified Clinical Documentation Specialist (CCDS) obtained through the Association of Clinical Documentation Improvement Specialists (ACDIS) and/or Certified Documentation Improvement Practitioner (CDIP) obtained through the American Health Information Management Association (AHIMA).