FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical documentation improvement, ensuring compliance with CMS regulations and accurate coding practices. Proficient in conducting audits and providing education to enhance documentation quality and patient care metrics.
Highest-signal resume keywords
RN With BSNClinical Documentation ExperienceSecond Level Review ExperienceEpic ExperienceStrong Analytical Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical Documentation ImprovementCoding ComplianceDRG AssignmentsQuality Score EvaluationData Quality Tracking
Soft Skills
Effective CommunicationEducation and Training
Tools & Technologies
EpicMicrosoft ExcelMicrosoft WordMicrosoft OutlookSolventum
Industry Keywords
CMS RegulationsPresent On AdmissionPatient Safety IndicatorsConcurrent ReviewPost-Discharge Review
About the role
Key responsibilities & impact- Provide timely second-level reviews of patient medical records
- Ensure accurate and complete documentation reflecting patient severity and complexity of illness
- Work with providers and coders to ensure chart documentation reflects patient complexity
- Educate and interact with providers
- Conduct concurrent and post-discharge record reviews
- Ensure Present on Admission conditions are accurately documented within regulatory timeframes
- Ensure documentation reflects accurate safety ratings and quality-of-care scores, including PSIs
- Participate in education sessions and provide feedback to coders, CDI Reviewers, and Hospital Quality Departments
- Conduct regular standardized audits for POA, HAC, and PSI documentation compliance
- Track and trend data for quarterly CDI and Coding team data-quality reviews
- Escalate issues affecting documentation or coding quality
- Ensure coding and DRG assignments comply with CMS rules, regulations, coding practices, and conventions
- Use the OIG workplan to identify payer denial patterns and target education and focused audits
- Apply coding, DRG, and quality-score changes affecting data quality or revenue through Case Mix Index (CMI)
- Travel to field sites up to 15% of the time may be required
Requirements
What you’ll need- RN with BSN required
- 3+ years of clinical documentation experience
- Strong clinical training experience
- Second Level Review experience
- Epic experience
- Solventum experience
- Strong analytical skills to clinically evaluate the medical record
- Ability to use a PC for medical record review
- Proficiency utilizing Microsoft Excel, Word, and Outlook
- Ability to communicate effectively with e4health management and clients
- Applicants for U.S. based positions must be legally authorized to work in the United States
- Verification of employment eligibility required at hire
- Visa sponsorship is not available
- Smarter Dx experience preferred
- Epic and 3M 360 preferred
Benefits
Comp & perks- Excellent salary
- Full benefits package
- 401(k) with company match
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Short-term disability insurance
- Long-term disability insurance
- PTO policy
- Fully remote work arrangement