Join Our Team: Clinical Documentation Specialist RN

Are you ready to take your nursing career to the next level? We're seeking a passionate and driven Clinical Documentation Specialist RN to join our dynamic team. If you're looking for an opportunity to make a real impact on patient care while advancing your professional development, this position is perfect for you!

Why Join Us?

Meaningful Work: As a Clinical Documentation Specialist RN, you'll play a pivotal role in ensuring accurate clinical documentation, directly impacting patient outcomes and quality of care.
Collaborative Environment: Work alongside physicians, clinicians, and coding staff in a supportive and collaborative environment where your expertise is valued.
Continuous Learning: We're committed to your growth and development. Receive ongoing education and training to stay up-to-date with the latest clinical documentation and coding guidelines.
Career Advancement: Take advantage of opportunities for career advancement and professional growth within our organization.

Responsibilities:

Clinical Documentation Review: Conduct initial, concurrent, and retrospective reviews of medical records to ensure accurate representation of clinical severity, complications, and comorbidities.
Education and Training: Educate internal staff, including physicians, clinicians, coders, and allied health professionals, on clinical documentation and coding guidelines.
Relationship Building: Develop and maintain strong professional relationships with colleagues across the organization to facilitate positive program outcomes.
Compliance and Quality Assurance: Ensure compliance with documentation and coding guidelines, and identify opportunities for performance improvement.
Professional Development: Continuously enhance your skills and knowledge through ongoing learning opportunities and team collaboration.

Qualifications:

Education: BSN, CCDS, and CCS preferred.
Experience: Minimum three years of recent acute care nursing experience required. CDI experience and ICU experience preferred. Clinical expertise required.
Licensure: RN license required. CCDS, CCS preferred.
Special Skills: Excellent communication, negotiation, and organizational skills. Ability to work collaboratively and independently. Keen attention to detail and proficiency in using medical records for data extraction.

Join Us Today!

Equal Opportunity Employer: We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Type: Full-time

Benefits:

Dental insurance
Employee assistance program
Employee discount
Health insurance
Life insurance
Paid time off
Parental leave
Referral program
Vision insurance

Work Location: Remote

Yale New Haven Health

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Clinical Documentation Specialist (RN) - Remote