USRN (100k Signing bonus) | Onsite

Minimum Requirements

• Bachelor's degree in nursing

• Three to five (3-5) years of recent clinical work experience in the medical-surgical area, ICU, telemetry, or emergency department

• Active USRN license

• Solid background in fundamentals of nursing and medical & surgical nursing

• Knowledge about diagnoses, signs & symptoms, diagnostic tests and management expected for conditions such as DM, HTN, CHF, CVA, sepsis, encephalopathy, AKI, CKD, etc.
• No BPO experience required as long as you meet the above qualifications

Job Description:

• Reviews clinical documentation to ensure it accurately reflects the patient's severity of illness, risk of mortality, and complexity of care.
• Shares review findings with leadership, CDI team, and other relevant staff; recommends corrective actions when needed.
• Performs focused reviews on specific areas like mortality rates, patient safety indicators (PSIs), and other priority projects.
• Provides ongoing education and training to the CDI team and related departments about documentation trends and best practices. Also leads the onboarding of new CDI specialists.
• Acts as a subject matter expert in CDI, coding rules, and compliance, identifying risks and opportunities for improvement.
• Applies coding guidelines and policies to assign accurate DRGs and reviews patient records throughout hospitalization to ensure proper coding.
• Collaborates with physicians to clarify unclear or missing documentation through queries or during rounds.
• Works with HIMS coders to ensure accurate diagnosis/procedure codes and complete documentation for final DRG assignment and quality outcomes.
• Builds and maintains strong relationships with providers to support documentation improvement efforts.
• Leads documentation improvement initiatives and participates in related department or organizational projects.