(RN) Clinical Document Specialist/ Full-Time

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MINIMUM QUALIFICATIONS:

EDUCATION: RN; Graduate of accredited school of nursing. BSN preferred.

CERTIFICATION/LICENSES: Licensed as a Registered Nurse in the State of New Mexico.

SKILLS:

• Basic computer skills in word processing and spreadsheet utilization.
• Excellent written and verbal communication skills.
• Proficient in computer use (desktop and/or laptop).
• Demonstrates basic knowledge regarding HIM coding standards.
• Analytic skills necessary to accurately assess patient medical records.
• Excellent interpersonal skills and ability to work on a team in order to influence physician documentation processes.
• Ability to be flexible and adjust to workload/assignment changes and interruptions.

EXPERIENCE: Minimum of 5 years recent experience in an acute care setting in a clinical nursing field required. Prior experience in clinical documentation improvement, utilization review/management, discharge planning, quality management, case management or coding preferred.

NATURE OF SUPERVISION:

-Responsible to: Director of Case Management Services

ENVIRONMENT: Bloodborne pathogen: A

General office environment and general hospital department/nursing units.

PHYSICAL REQUIREMENTS: Ability to walk and stand 80% of work time.