Job Description: • Responsible for concurrent review of inpatient medical records to identify opportunities for improving the quality of medical record documentation • Confer with the appropriate caregiver on the additional documentation that may be required • Achieve a complete medical record by the time of patient discharge • Follow Joint Commission, Medicare and third party payor documentation guidelines • Provide assistance to the attending physician and other health care providers in the patient care documentation process Requirements: • Bachelor's degree in Nursing • Registered Nurse • 2 years of relevant experience required • 2-4 years of relevant experience in acute care medical or surgical experience preferred • Intensive Care Unit preferred • A Bachelor's degree in Health Information Management with credentials of RHIA, RHIT, CCS, CCDS, or CDIP with clinical knowledge • 2 years of relevant experience in inpatient coding/CDI will be considered in lieu of an RN • Current Registered Nurse License in the State of practice • Or Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Coding Specialist (CCS), or Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) could be considered Benefits: • Comprehensive benefits packages, including medical, dental and vision insurance • Tuition assistance for employees and their dependents • State or alternative retirement options with competitive employer contributions