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2 дня назад

RN, Clinical Documentation Integrity Specialist (Healthcare)

80 000$
Формат работы
hybrid
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
RN, Clinical Documentation Integrity Specialist (Healthcare): Reviewing acute-care medical records and improving physician documentation to support accurate diagnoses, severity of illness, risk of mortality, coding, and reimbursement with an accent on clinical accuracy, ICD-10-CM/PCS, DRG assignment, and physician collaboration. Focus on identifying documentation gaps, preparing denial appeals, resolving coding issues, and maintaining regulatory compliance.

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

hirify.global 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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