Job Description

Registered Nurse – Clinical Documentation & Quality Improvement Analyst

Qualifications:

• Active RN license with experience in clinical documentation or quality improvement.
• Minimum of 2 years of experience in healthcare compliance, coding, or CDI.
• Strong understanding of hospital quality measures and regulatory requirements.
• Ability to analyze clinical data and identify documentation gaps.
• Proficiency in healthcare informatics and reporting tools.

Duties:

• Review and analyze patient records to ensure quality documentation.
• Collaborate with medical staff to improve clinical record accuracy.
• Ensure compliance with hospital policies and regulatory standards.
• Identify patterns and trends in documentation deficiencies.
• Assist in quality improvement initiatives to enhance patient outcomes.
• Provide CDI training and mentorship to nursing and medical staff.

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