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RN – Clinical Documentation Improvement Specialist
Mary Lanning HealthcareRN-Clinical Documentation Improvement Specialist enhancing medical record documentation quality. Overseeing clinical documentation and collaborating with healthcare staff for accurate patient profiles and reimbursement.
ATS Keywords
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Hard Skills
clinical documentation improvementmedical record documentationreimbursement processes
Soft Skills
communicationinterpersonal skillseducational skills
Certifications & Qualifications
registered nurse (RN) licenseClinical Documentation Improvement Specialist (CDIS)
Industry Keywords
documentation guidelinespatient carehealthcare compliance
About the role
Key responsibilities & impact- Providing improvement in the overall quality and completeness of medical record documentation
- Obtain appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and coding staff
- Ensure proper reimbursement is received for the level of service rendered to patients
- Educate members of the organization on documentation guidelines and improvement efforts
Requirements
What you’ll need- Associate Degree in Nursing required
- Bachelors Degree in Nursing preferred
- Clinical Documentation Improvement Specialist (CDIS) experience and/or training preferred
- Current registered nurse (RN) license or temporary permit from the State of Nebraska required
Benefits
Comp & perks- Health insurance
- Retirement plans
- Paid time off