Role Description
• Review inpatient medical records for documentation accuracy and completeness.
• Identify opportunities for Clinical Documentation Improvement (CDI).
• Formulate and communicate clinically appropriate physician queries.
• Collaborate with physicians, HIM professionals, and nursing staff.
• Ensure accurate representation of severity of illness and risk adjustment.
• Follow up on documentation queries and discrepancies.
• Participate in CDI education initiatives and meetings.
• Support accurate DRG assignment and documentation practices.
• Maintain timely and accurate documentation in Epic EMR.
• Manage multiple priorities in a remote work environment.
• Support regulatory compliance and documentation integrity initiatives.
• Provide professional communication and support across departments.
Qualifications
• Bachelor of Science in Nursing (BSN).
• Certified Clinical Documentation Specialist (CCDS).
• CDI Competency Exam completion.
• Management or supervisory experience.
• Familiarity with healthcare regulatory environments.
• Strong physician communication and collaboration skills.
Requirements
• Active Massachusetts Registered Nurse (RN) License.
• Recent acute care experience (ICU, CCU, or Medical/Surgical) OR 4 years of recent Case Management experience.
• Epic EMR experience required.
• Prior fully remote work experience required.
• Strong understanding of pathophysiology and disease processes.
• Knowledge of Medicare Part A and Part B guidelines.
• Strong analytical, critical thinking, and communication skills.
• Graduate of an accredited nursing program.
• Ability to manage multiple priorities independently.
• Ability to work rotating weekends and occasional holidays.
Company Description
Navitas Healthcare, LLC is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.