Hospitals, medical centers and facilities need more than physicians, nurses and specialists delivering care to our patients. A truly successful health care organization needs a thoughtful, dedicated, steady and experienced team working behind the scenes to make sure communities around the country receive the health care they need.
If you've also been interested in working in the health care field but aren't a health care provider, a corporate career at AdventHealth may just be the perfect fit. We're a faith-based health care organization headquartered in Altamonte Springs, Florida. As a national leader in quality, safety and patient satisfaction, our 92,000 team members maintain a long tradition of whole-person health by caring for the physical, emotional and spiritual needs of every patient.
Start your journey with a health care career at AdventHealth Corporate.
Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we're committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.
Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the Clinical Documentation Integrity Manager, and in collaboration with physicians, nursing and HIM coders, the Clinical Documentation Specialist (CDS) strategically facilitates and obtains appropriate and quality physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. The CDS educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing, and care management. The CDS adheres to strict departmental and organizational goals, objectives, standards of performance and policies and procedures, continually ensuring quality documentation and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
Demonstrates extending the healing ministry of Christ, through behavioral whole care standards of love me, make it easy, own it and keep me safe to every person they meet. Delivers exceptional care and strives for excellence. Committed to improving the health, prosperity and well-being of the communities we serve. Uphold the highest standards, with integrity driving every decision made and every action taken. Guided by relentless stewardship in the management of resources entrusted to them.
Reviews concurrent medical record for documentation compliance including completeness and accuracy for severity of illness (SOI), risk of mortality (ROM) and quality.
Completes accurate and timely record review to ensure the integrity of documentation compliance. Completes accurate and concise input of data into CDI Software resulting in accurate metrics obtained through the reconciliation process. Understands and supports CDI documentation strategies (upon completion of didactic training) and continues to educate self and team members, by attending monthly mandated education sessions and using educational tools, videos and provided webinars.
Recognizes opportunities for documentation improvement using strong critical-thinking skills. Uses critical thinking and sound judgment in decision making keeping quality considerations in balance with regulatory compliance. Initiates/formulates CDI severity worksheets and clinically credible clarifications for inpatients, sending/presenting opportunities for improved documentation compliance to physicians, nurse practitioners and other clinical team members.
Transcribes documentation clarifications as appropriate for SOI, ROM, PSI, HCCs and HACs to ensure documentation compliance is accomplished.
Strategically educates members of the patient-care team regarding documentation regulations and guidelines, including physicians, allied health practitioners, nursing, and collaboration with the healthcare team. This includes quarterly and annual compliance updates from Medicare.
Effectively and appropriately communicates with physicians and other healthcare providers as necessary to ensure appropriate, accurate and complete clinical documentation. Communicates with HIM staff and collaborates with them to resolves discrepancies with DRG assignments and other coding issues.
Completes well-timed follow-up case reviews on all cases with priority given for resolution of those with clinical documentation clarifications.
Participates in department meetings, including feedback on outstanding issues, presentations for educational opportunities and any other needs identified by the CDI leaders.
Assumes personal responsibility for professional growth, development and continuing education to maintain a high level of proficiency.
Proficient in formulating valid clarifications that are easily understood by physicians and other members of the medical team.
Accurately reconciles all cases in CDI Software.
Assists in new hire orientation through precepting and mentoring.
Maintains CCDS credentialing.
Associate and 5 years experience
5 years acute care
2 years CDI experience
Licensure, Certification or Registration Required:
Current active State license as a Registered Nurse, Nurse Practitioner, Physician's Assistant or an unlicensed physician who has graduated from a medical school that is listed in the World Directory of Medical Schools (World Directory) as meeting eligibility requirements for its graduates to apply to the Educational Commission for Foreign Medical Graduates (ECFMG) for ECFMG Certification and examination at the time of graduation and CCDS (Certified Clinical Documentation Specialist) certification, or/and CDIP (Certified Documentation Improvement Practitioner) certification
Preferred Qualifications:
BSN or higher degree and 3 years of CDI experience
CCS (Certified Coding Specialist)
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Category: Health Information Management
Organization: AdventHealth Corporate
Schedule: Full-time
Shift: 1 - Day
Req ID: 25008880
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
AdventHealth...The Outside Sales Representative Environmental, internally known as an Account Manager... ...Representative (known internally as a SKE Sales Rep provides product insight to our clientele... ...and internal promotion Health, Dental and Life Insurance 401K, tuition reimbursement...
**This job posting is open to both Junior and Senior level Public Accountants***Multiple openings available for both aspiring and experienced CPAs* Senior CPA Description: Review tax returns (federal, state). Perform research and stay up to date on a broad range...
LOVE TO HELP OTHERS LOOK AND FEEL GORGEOUS WHILE EARNING BONUSES? JOIN OUR TEAM! Do you like to be financially rewarded for your performance every pay period? Are you passionate about people and beauty? Are you naturally confident and outgoing? Does the idea of...
...prototyping of design concepts Quickly identify and fix JavaScript and CSS defects Collaborate on optimal user experience choices based... ...Required Skills: Web Development-5-10 years experience HTML/CSS/JavaScript- 5-10 yrs experience Web Components 2 years...
Job Opportunity At Synergisticit Synergisticit wants every candidate to know that the job market is challenging and to stand out you need to have exceptional skills and technologies and that's where we come in to make sure you get the attention which you need. Position...