Clinical Documentation Specialist RN

7 days ago


Macon, Georgia, United States Shaker for ChristianaCare Direct Full time
RN Clinical Documentation Integrity Education Specialist

We are seeking a highly skilled Registered Nurse (RN) to join our team as a Clinical Documentation Integrity Education Specialist. This role will play a critical part in ensuring the accuracy and completeness of inpatient clinical documentation.

Key Responsibilities:
  • Develop and implement clinical documentation education programs for CDI specialists and clinicians.
  • Track, trend, and audit CDI queries to ensure quality and compliance.
  • Orient new clinicians and CDI specialists.
  • Create documentation education materials, including clinician-level scorecards and documentation checklists.
  • Collaborate with the coding department for weekly huddle education.
Requirements:
  • Bachelor's degree in nursing.
  • DE RN licensed or Compact Nursing License.
  • Strong medical terminology and clinical awareness.
  • Effective communication and clinical skills.
  • Clinical Documentation Certification (CCDS) required within 1 year of eligibility.
  • Minimum of 3 years CDI experience, with a focus on PSIs preferred.
  • Minimum of 3 years recent experience as a Registered Nurse in acute care, adult care setting preferred.
Working Conditions:

This is a hybrid position with remote and onsite requirements. The ideal candidate will be able to work effectively in a fast-paced environment and have excellent communication and interpersonal skills.


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