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Clinical Documentation Improvement Nurse

Clinical Management Consultants Careers
New, NY Full Time
POSTED ON 3/29/2025
AVAILABLE BEFORE 4/28/2025

A leading acute care hospital located in southeastern New York is seeking a skilled RN Clinical Documentation Improvement Specialist to optimize clinical documentation practices and ensure accurate medical records. Reporting to the Director of Health Information Management, this role will play a crucial part in reviewing medical documentation, conducting concurrent and retrospective reviews, providing education to healthcare providers, and collaborating with interdisciplinary teams to improve coding accuracy and quality of documentation.

Key Responsibilities

  • Review and analyze medical documentation for accuracy and completeness
  • Conduct concurrent and retrospective reviews to identify areas for improvement
  • Provide education and training to healthcare providers on optimal documentation practices
  • Collaborate with interdisciplinary teams to develop and implement policies and procedures

This role requires a Registered Nurse RN license in the state of New York or ability to obtain. Prior experience working in clinical documentation improvement is preferred, but not required. A CCDS certification is a plus but not mandatory.

Candidates should have excellent communication and analytical skills, as well as the ability to work effectively in a team environment. If you are a motivated and detail-oriented RN looking to make a difference in the quality of patient care, we encourage you to apply for this exciting opportunity.

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