Job Description




Must possess at least five years of acute hospital nursing experience (e.g. medical/surgical unit, intensive care). Experience in Utilization Management/Case Management, Critical Care, patient outcomes/quality management and/or inpatient coding considered a plus.
ICU/Critical Care experience strongly desired.
Prior experience in clinical documentation improvement, ICD coding and MS-DRGs preferred.
Prior experience educating physicians/providers preferred.
Previous experience working in a clinical documentation improvement department or as a consultant strongly encouraged.

Minimum of one-year auditing experience strongly encouraged.
This individual must possess a comprehensive knowledge of medical terminology, disease processes and clinical competency.
Candidate must possess excellent communication (verbal and written), interpersonal, collaboration and relationship-building skills. Strong critical thinking skills and ability to integrate knowledge is necessary. Prioritization and organizational skills required. Must exhibit the ability to educate members of the healthcare team about clinical documentation. Individual must demonstrate data quality and integrity skills.
To perform this job successfully, an individual should have strong working knowledge of word processing software, spreadsheet software and reporting software. Also, experience working with encoder software, clinical documentation improvement software and the electronic medical record is preferred
English is required for both verbal and written communication. Ability to communicate effectively at a high level is required\


At least one of the following is required: BSN, RN, or comparable clinical degree.
In addition, the following are highly desired: RHIT, RHIA, CDIP, CCDS, CCS and ICD-10 certification or designation.

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