Clinical Documentation Integrity (CDI) Specialist- Contract Remote $68/hr

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.

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.