RN Clinical Documentation Specialist

A company is looking for an RN Clinical Documentation Specialist.



Key Responsibilities

Conducts initial and ongoing patient medical record reviews and documents findings in the CDE software system
Assigns diagnoses and codes, ensuring accurate documentation and compliance with regulatory guidelines
Educates healthcare providers on clinical documentation improvement and collaborates with coding professionals to ensure documentation accuracy


Required Qualifications

Current RN Licensure
Minimum of 5+ years of inpatient RN experience; 8+ years preferred
Experience in an acute-care hospital setting preferred
CRCR certification required within 9 months of hire
Strong interpersonal skills, particularly in physician relations