Clinical Documentation Integrity Specialist PRN WFD

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R-0366398 Our promise to you:   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.   Schedule: PRN  Shift: Day (United States of America)  Address: 3100 E FLETCHER AVE  City: TAMPA  State: Florida  Postal Code: 33613  Job Description:  

  • Reviews concurrent medical records for compliance, completeness, and accuracy regarding severity of illness (SOI), risk of mortality (ROM), and quality.
  • Completes accurate and timely record reviews to ensure the integrity of documentation compliance. Inputs data accurately into software, resulting in precise metrics obtained through the reconciliation process.
  • Recognizes opportunities for documentation improvement using strong critical-thinking skills.
  • 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.
Knowledge, Skills, and Abilities: • Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrates excellent physician relations. [Required] • Able to organize and present information clearly and concisely; excellent computer and keyboarding skills; ability to use multiple software programs simultaneously; high degree of prioritization skills. [Required] • Ability to learn/develop and fine-tune the skills necessary to perform optimally as a Clinical Documentation Specialist. [Required] • Dependable, self-motivated and pleasant. [Required] • Utilize and demonstrate excellent critical-thinking, problem-solving and deductive-reasoning skills. [Required] • Knowledge of pathophysiology, disease processes and treatments. [Required] • Strong ability to organize/triage work and manage multiple priorities at once. [Required] • Knowledge of clinical documentation requirements that identify clinical conditions or procedures. [Preferred] • Coding background. [Preferred] • Knowledge of quality guidelines. [Preferred] Education: • Bachelor's of Nursing [Preferred] • Master's of Nursing [Preferred] Field of Study: • completed in health service administration, business administration, system performance engineering, industrial engineering, or public health Work Experience: • 5+ acute care nursing experience with specific medical/surgical, intensive care, post-acute care unit, or emergency department experience. [Required] • Clinical Documentation Specialist experience [Preferred] Additional Information: • N/A Licenses and Certifications: • Adult Acute Care Nurse Practitioner (ACNPC) [Required] OR • Registered Nurse (RN) [Required] OR • Advanced Practice Registered Nurse (APRN) [Required] OR • Educational Commission for Foreign Medical Graduates (ECFMG) [Required] AND • Certified Clinical Documentation Specialist (CCDS) [Preferred] Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/23km2677   Pay Range:   $32.76 - $57.47  This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
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