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Job Summary:
We are seeking a detail-oriented Registered Nurse (RN) with experience in Clinical Documentation Improvement (CDI) to support concurrent and retrospective chart reviews. The ideal candidate will have hands-on experience with Iodine/APR methodologies and familiarity with Epic (preferred).
Key Responsibilities:
- Perform concurrent and post-discharge reviews of patient records
- Identify documentation gaps and opportunities for physician queries prior to coding
- Ensure accuracy and completeness of clinical documentation
- Review 6–10 cases per day while maintaining a target query rate of 30%
- Utilize tools such as Epic and 3M 360 for documentation review and workflow management
- Collaborate with clinical and coding teams to improve documentation quality
Requirements:
- Active RN license
- CDI experience with concurrent reviews
- CCDS required
- Proficiency in Epic (preferred) and 3M 360
- Strong analytical and communication skills
