RN Clinical Documentation Improvement Specialist

We are currently seeking a dedicated and experienced RN Clinical Documentation Improvement Specialist with a Registered Nurse (RN) background to enhance these clinical documentation practices, ensuring the highest levels of patient care and compliance with healthcare standards. 

 RN Clinical Documentation Improvement Specialist Responsibilities: 

• Conduct thorough chart reviews to ascertain and validate documentation, coding and billing practices 

• Collaborate with healthcare providers to ensure clinical information is accurately and comprehensively documented 

• Provide education and training to staff on clinical documentation best practices, coding guidelines, and regulatory requirements 

• Participate in the development and implementation of CDI strategies to improve documentation, quality scores, and reimbursement 

• Monitor and analyze trends in clinical documentation; prepare and present reports to management and staff 

• Serve as a liaison between clinical staff and coding professionals to resolve discrepancies in documentation and coding 

 RN Clinical Documentation Improvement Specialist Requirements: 

• Active Registered Nurse (RN) license 

• Bachelor of Science in Nursing (BSN) preferred 

• Minimum of 3 years of clinical experience in a hospital setting 

• Prior experience in Clinical Documentation Improvement is highly desirable 

• Excellent understanding of medical terminology, anatomy, physiology and pathophysiology 

• Familiarity with coding concepts and guidelines (ICD-10, CPT codes) is an advantage 

• Strong analytical and problem-solving skills 

• Effective communication and interpersonal skills, with the ability to work collaboratively across departments 

• Commitment to maintaining the highest standards of confidentiality and professionalism 

If you are an experienced RN Clinical Documentation Improvement Specialist, we invite you to apply and be a part of their client’s dedicated team! 

Thank you, 

Anna White 

Sr. Project Manager – Healthcare Revenue Cycle 

LaSalle Network