-
CategoryHealthcare
-
No of Jobs1
-
Apply Before12/08/2025
Description
RN Clinical Documentation Specialist
Ensemble Health Partners - Putnam, CT
Job Title: RN Clinical Documentation Specialist
Position: Clinical Documentation Improvement Specialist
Job Type: Full Time
Pay: $80,000.00 – $86,750.00
Shift: On-Site
Work Type: On-Site
Location
Address:
City: Putnam
State: CT
ZIP Code:
Job Responsibilities
- Complete initial patient medical record review within 24-48 hours of patient's admission.
- Complete subsequent reviews of patient's medical record reviews every 24-48 hours and enter review findings in CDE software system.
- Assign Principal diagnosis, CC/MCC (complication and comorbidity/major complication and comorbidity), evaluate for Severity of Illness (SOI) and Risk of Mortality (ROM) on all patients while in-house.
- Assign working ICD-10-CM and PCS codes and DRG (Diagnosis Related Group) using encoder in CDE software.
- Clarify with physicians regarding missing, unclear, unsupported or conflicting health record documentation by requesting and obtaining additional documentation from physicians when needed.
- Educate key healthcare providers regarding clinical documentation improvement, documentation guidelines, and the need for accurate and complete documentation.
- Partner with coding professionals to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to determine working and final DRG assignment.
- Review DRG denial letters and write denial appeal letters.
- Collaborate with care coordination, nursing staff and other ancillary staff regarding interaction with physicians on documentation and to resolve physician clarifications prior to patient discharge.
- Maintain and uphold all clinical documentation regulatory guidelines.
- Formulate and submit timely, well-prepared appeals for reconsideration by third party administrators (payors).
- Work collaboratively with co-workers and management to effectively resolve root cause issues that impact payor contracts, hospital operations, or departmental to maintain reimbursement and minimize appeal requests and/or denials.
Required Skills
Core Skills
- Excellent interpersonal skills
- Excellent verbal and written communication skills
- Ability to organize and present information clearly and concisely
- Excellent computer and keyboarding skills
- High degree of prioritization skills
Preferred Skills
- Proficient in physician relations
- Experience with CDE software
Requirements
Experience: Minimum of five years acute care nursing experience with specific medical/surgical, Intensive Care, or Emergency Department experience.
Education: Current RN Licensure
License & Certification:
- CRCR Required within 9 months of hire
Schedule:
COVID-19 Requirements: Not Specified
Benefits
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
Supplemental Pay
- Not specified
Special Notes
- Ensemble Health Partners is an equal employment opportunity employer.
- Offers reasonable accommodations to qualified individuals with disabilities.
Facility Details
Name: Ensemble Health Partners
Description: Leading provider of technology-enabled revenue cycle management solutions for health systems.
Specialties:
- Revenue Cycle Management
- Healthcare Solutions
Mission: To keep communities healthy by keeping hospitals healthy and providing exceptional experiences for clients.
Job Info
Discipline:
Department:
Status:
Sourcing
Duration:
Experience:
Career Level:
No of Jobs:
1
Apply Before:
12/08/2025
Posted:
09/08/2025
