AdventHealth
Clinical Documentation Integrity (CDI) Specialist- Contract Remote $68/hr
Company Description
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Job Description
Requirements
Knowledge, Skills, and Abilities: N/A Education: Bachelor's of Nursing or higher in a healthcare related field [Required]• Master's or higher in a healthcare related field [Preferred] Field of Study: N/A Work Experience: 3+ of recent cdi experience [Required]• 5+ acute care nursing experience with specific medical/surgical, intensive care, post-acute care unit, or emergency department experience [Required]• Experience in outpatient clinical documentation reviews and improvement processes [Preferred]• Experience with, modeling, and report development [Preferred] Additional Information: An equivalent combination of education ad relevant work experience may be considered in lieu of the stated degree requirement: Bachelors degree and 3+ years of experience OR Associates degree and 5+ years of experience OR High School Grad or Equivalent and 7+ years of experience. Licenses and Certifications: Certified Cardiac Device Specialist (CCDS) [Required] OR Certified Documentation Improvement Practitioner (CDIP) [Required]• Certified Documentation Expert Outpatient (CDEO) [Preferred] Physical Requirements: (Please click the link below to view work requirements) Physical Requirements – https://tinyurl.com/23km2677
Need help crafting an effective cover letter and resume for this role?
Get access to our expert resources: our proven framework offers successful strategies, helps you find the best-fit positions, craft standout cover letters, optimize your resume, and much more.
Get Started
Responsibilities
Reviews concurrent medical records for compliance, completeness, and accuracy regarding severity of illness, risk of mortality, and quality. Completes accurate and timely record reviews to ensure the integrity of documentation compliance. Inputs data into CDI software accurately and concisely, resulting in precise metrics obtained through the reconciliation process. Understands and supports CDI documentation strategies and continues to educate self and team members through mandated education sessions and provided webinars. Recognizes opportunities for documentation improvement using strong critical-thinking skills. Uses critical thinking and sound judgment in decision-making, balancing quality considerations with regulatory compliance. Initiates and formulates CDI severity worksheets and clinically credible clarifications for inpatients, presenting opportunities for improved documentation compliance to clinical team members. Transcribes documentation clarifications as appropriate to ensure documentation compliance is accomplished. Educates members of the patient-care team regarding documentation regulations and guidelines, including quarterly and annual compliance updates from Medicare. Communicates effectively and appropriately with physicians and other healthcare providers to ensure accurate and complete clinical documentation. Collaborates with HIM staff to resolve discrepancies with DRG assignments and other coding issues. Completes timely follow-up case reviews on all concurrent cases, prioritizing resolution of those with clinical documentation clarifications. Performs other duties as assigned.
.svg)
.svg)
.svg)
.svg)