RN, Clinical Documentation Integrity Specialist (Healthcare)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Location: Hybrid schedule in Jupiter, Florida; onsite work at Jupiter Medical Center is required two days per week on a rotating schedule. Candidates must live within a reasonable commuting distance and be able to travel to client, temporary, or corporate office locations as business needs require.
Base salary: $80,000 per year.
Company
provides technology-enabled revenue cycle management solutions and point solutions for hospitals, health systems, and affiliated physician groups.
What you will do
- Review patient medical records within 24–48 hours of admission and conduct follow-up reviews at 24–48-hour intervals using the CDE software system.
- Assign principal diagnoses, CC/MCC, Severity of Illness, Risk of Mortality, working ICD-10-CM and PCS codes, and DRGs.
- Clarify missing, unclear, unsupported, or conflicting documentation with physicians through written and face-to-face communication.
- Educate physicians, nurse practitioners, nurses, allied health professionals, and care coordination staff on documentation improvement and regulatory guidelines.
- Partner with coding and clinical teams to validate diagnostic and procedural data, resolve clarifications before discharge, and support accurate final DRG assignments.
- Review denial letters and prepare evidence-based appeals to payors while addressing root causes that affect reimbursement and hospital operations.
Requirements
- Current RN licensure.
- At least five years of acute-care nursing experience, including medical/surgical, intensive care, or emergency department experience.
- Excellent verbal and written communication skills, interpersonal skills, physician relations, organization, prioritization, computer, and keyboarding abilities.
- Inquisitive approach and openness to innovation, including AI-supported process improvements.
- Ability to work onsite at Jupiter Medical Center two days per week and travel to other work locations when required.
- HFMA Certified Revenue Cycle Representative certification must be obtained within nine months of hire.
Culture & Benefits
- Comprehensive healthcare, time-off, retirement, and well-being benefits.
- Paid professional certifications and tuition reimbursement.
- Career advancement and professional development opportunities.
- Bonus and quarterly or annual incentive programs.
- Culture focused on collaboration, innovation, work-life flexibility, leadership, and purpose.
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