Clinical Documentation Integrity Specialist - Registered Nurse - CDIRN 25-24930 Job at NavitsPartners, Quincy, MA

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  • NavitsPartners
  • Quincy, MA

Job Description

Job Title: Clinical Documentation Integrity (CDI) Specialist – Registered Nurse (RN)

Job Type: 13-Week Contract

Location: Remote (with optional on-site presence 1–2 days per week)

Shift: Rotating Days | 7:00 AM – 3:30 PM

Licensure Required: Massachusetts RN License, BLS Certification

Job Summary:

Seeking an experienced and detail-oriented Clinical Documentation Integrity (CDI) Specialist to support accurate and complete clinical documentation in a healthcare setting. The ideal candidate will be a Registered Nurse with strong clinical and analytical skills, capable of working independently and collaboratively in a fast-paced environment.

Key Responsibilities:
  • Conduct timely and accurate medical record reviews to identify documentation improvement opportunities.

  • Communicate effectively with physicians to clarify and enhance documentation through clinically appropriate queries.

  • Identify gaps in documentation to reflect accurate patient acuity and clinical complexity.

  • Participate in team meetings, interdisciplinary case reviews, and staff education sessions.

  • Monitor and follow up on outstanding queries and documentation issues.

  • Collaborate with Health Information Management (HIM) staff to ensure coding and documentation alignment.

  • Maintain documentation metrics and ensure accurate data entry in the EMR system.

  • Apply knowledge of Medicare Part A and Part B in relation to DRG assignments and reimbursement models.

  • Provide professional service and maintain a respectful, cooperative demeanor with staff, patients, and families.

  • Balance multiple priorities effectively in a dynamic healthcare environment.

  • Support initiatives related to documentation strategy, compliance, and performance improvement.

Qualifications:
  • Active and current Massachusetts Registered Nurse (RN) license.

  • Graduate of an accredited nursing program; BSN preferred.

  • CCDS certification or successful completion of a CDI Competency Exam is preferred or required.

  • Recent acute care clinical experience (preferably ICU, CCU, or strong Med/Surg background), or 4+ years of recent Case Management experience.

  • Strong understanding of pathophysiology, disease processes, and clinical standards of care.

  • Working knowledge of CMS guidelines, DRG methodologies, and regulatory requirements.

  • Excellent critical thinking, problem-solving, and communication skills.

  • Proficiency in EMR systems and Windows-based applications.

  • Previous leadership or supervisory experience is a plus.

Job Tags

Contract work, Rotating shift, 2 days per week, 1 day per week,

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