Senior Medical Writer at Avalere Health producing editorial content to support healthcare communication goals. Collaborating with teams to deliver quality projects on time and within budget.
About the role
- Clinical Documentation Sr Registered Nurse RN responsible for reviewing medical records and education of physician documentation guidelines. Involves collaboration with healthcare teams and regulatory adherence.
Responsibilities
- Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation
- Educates members of the patient care team regarding documentation guidelines
- Completes initial medical records reviews of patient records within 24-48 hours of admission
- Conducts follow-up reviews of patients every 2-3 days
- Formulate physician queries regarding missing, unclear or conflicting health record documentation
- Collaborates with case managers, nursing staff and other ancillary staff regarding interaction with physicians
- Assist in training department staff new to CDI
- Stays current with AHA Official Coding and Reporting Guidelines
- Communicates/Completes Clinical Documentation Improvement (CDI) activities and coding issues
Requirements
- Preferred: Acute Care nursing relevant experience
- Zero (0) to two (2) years experience
- Graduate from a Nursing program, BSN, or graduate
- Active state Registered Nurse license
- Preferred: CDIP or CCDS
Benefits
- Competitive benefits package
- Professional development support
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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