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Operational Requirements – Acquisition Documentation Specialist
LMI
Posted: 9/15/2026Clinical Documentation Specialist
Northeast Georgia Health SystemCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical documentation improvement, including DRG coding optimization and compliance with CDMP guidelines. Strong analytical and communication skills are essential for collaborating with healthcare teams and educating on documentation and reimbursement methodologies.
Highest-signal resume keywords
RN Licensure in GeorgiaClinical Documentation ImprovementDRG Coding OptimizationICD10 Coding ConventionsCritical Care or Medical-Surgical Nursing
About the role
Key responsibilities & impact- Improve the overall quality and completeness of clinical documentation through admission and continued-stay reviews using CDMP guidelines
- Facilitate modifications to clinical documentation to accurately reflect patient severity and support appropriate DRG-based reimbursement
- Conduct follow-up reviews and ensure clarifications are recorded in patient medical records
- Work with physicians during patient stays to obtain required documentation and provide education
- Refer quality, patient safety, utilization, and medical necessity concerns to CDI leadership, nursing, case management, or Utilization Review
- Write compliant, non-leading clinical documentation queries
- Monitor documentation against core measure quality indicators and address non-compliance
- Collaborate with physicians, nursing staff, case managers, coding staff, and CDI team members
- Assign working DRGs, update DRG worksheets, and finalize diagnoses with attending physicians
- Educate audiences on clinical documentation, coding, reimbursement, and performance methodologies
- Analyze DRGs to improve knowledge, performance, payment recovery, cost containment, and revenue generation
- Organize daily reviews, manage schedules and workloads, meet deadlines and productivity standards
- Participate in special projects and perform other assigned duties
Requirements
What you’ll need- Current RN Licensure in the State of Georgia
- Associates Degree
- Five (5) years in the practice of professional nursing
- Demonstrates aptitude in critical care or medical-surgical nursing
- Excellent observation skills, analytical thinking, problem-solving abilities, and written and verbal communication
- Working knowledge of DRG coding optimization strategies and clinical documentation requirements helpful
- Professional interpersonal skills
- Computer skills and ability to be self-directed
- Familiarity with ICD10 coding conventions, anatomy and physiology, medical terminology, MSDRG reimbursement, and coding software, preferably 3M 360 Encompass
- Leadership skills
- Must maintain requirements contained in Remote Agreement
- Ability to read, write, reason, talk, keyboard, and drive
Benefits
Comp & perks- Remote work opportunity, contingent on maintaining requirements in the Remote Agreement
- Equal Opportunity Employer
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 ImprovementDRG Coding OptimizationICD10 Coding ConventionsMedical TerminologyPatient Severity AssessmentDocumentation QueriesQuality Indicator MonitoringAnalytical ThinkingProblem-SolvingPerformance Methodologies
Soft Skills
Excellent Observation SkillsWritten CommunicationVerbal CommunicationProfessional Interpersonal SkillsSelf-Direction
Tools & Technologies
3M 360 EncompassCoding Software
Certifications & Qualifications
RN Licensure
Industry Keywords
Clinical DocumentationDRG-Based ReimbursementPatient SafetyUtilization ReviewHealthcare Collaboration