Registry Clinical Document Specialist Registered Nurse / RN

Emory Healthcare•Atlanta, GA

About The Position

Provides clinically based concurrent and retrospective reviews of inpatient medical records to evaluate documentation of patient acuity and support the acute care services delivered. Concurrent review aims to facilitate appropriate physician documentation of care delivery so that patient severity of illness and risk of mortality are accurately reflected. Reviews are determined internally or requested by external payers or regulatory agencies. They contribute to quality-of-care outcome reporting and accurate, compliant documentation for billing services rendered.

Requirements

Graduate of an accredited school of Nursing or a United States or international school of medicine.
For registered nurses, an active nursing license is required. Nurses in roles requiring an unencumbered license must hold a valid, active license or a temporary permit approved by the Georgia Licensing Board.
Education and experience may be considered in lieu of an RN license for highly qualified candidates who are physicians.
Three years of experience in a healthcare-related field with strong clinical expertise and acumen.

Nice To Haves

Recent clinical experience in an acute care setting is preferred.
Critical Care, Medical/Surgical, or Emergency Department nursing experience is preferred; alternatively, two years of experience in a specialty area.

Responsibilities

Conduct concurrent and retrospective clinically based reviews of inpatient medical records.
Evaluate documentation of patient acuity in relation to the acute care services delivered.
Facilitate appropriate physician documentation to accurately reflect severity of illness and risk of mortality.
Conduct reviews determined internally or requested by external payers or regulatory agencies.
Support quality-of-care outcome reporting and accurate, compliant documentation for billing.