Clinical Documentation Integrity Specialist I
About The Position
The Clinical Documentation Integrity Specialist is responsible for facilitating the improvement and overall quality and completeness of clinical documentation to support coding and will be responsible for reviewing medical records including daily admissions while the patient is still in-house (concurrent), as well as, subsequent reviews until discharge. The Specialist is also responsible for querying physicians on specificity of diagnosis or procedures performed in order to ensure the account appropriately reflects the patient’s Severity of Illness (SOI), Risk of Mortality (ROM), and resources used to care for the patient resulting in complete and accurate profiling and reporting outcomes. In addition, the Specialist will provide documentation and coding education as needed. Hybrid Remote Schedule / Remote 4 Days, Onsite 1 Day
Requirements
- Require a Bachelor’s degree (preferably BSN). Associate degree in Nursing (ASN) and two (2) years of relevant clinical work experience in an acute care inpatient setting can substitute for required degree.
- Require a minimum of three (3) years of experience in nursing or other relevant clinical area, coding, or utilization review/case management in an acute care facility.
- Require an active Florida Registered Nurse (RN) license or Medical Doctor (MD) equivalent.
Nice To Haves
- Prefer effective interpersonal skills in order to interact effectively with all levels of hospital personnel.
- Prefer demonstrated prioritization, organization and analytical skills.
- Prefer demonstrated effective written and verbal communications skills.
- Prefer demonstrated proficiency with Microsoft Office and related software packages.
- Prefer coding skills with experience in ICD-10-CM and working knowledge of the AHA Coding Clinic.
- Prefer Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) certification.
- Prefer coding certification from the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC).
Responsibilities
- facilitating the improvement and overall quality and completeness of clinical documentation to support coding
- reviewing medical records including daily admissions while the patient is still in-house (concurrent), as well as, subsequent reviews until discharge
- querying physicians on specificity of diagnosis or procedures performed in order to ensure the account appropriately reflects the patient’s Severity of Illness (SOI), Risk of Mortality (ROM), and resources used to care for the patient resulting in complete and accurate profiling and reporting outcomes
- providing documentation and coding education as needed
Benefits
- Paid Time Off (start earning PTO on day one of employment)
- Tuition Reimbursement
- Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
- Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars
- Life Insurance
- Competitive rates
- Bonuses offered
- Disability Insurance
- Retirement Savings Plan: 403b
- Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp!
- Bereavement Leave
- Free Parking
- On Campus Dining w/ a 10% discount
- Credit Union w/ teller machines on campus
- Direct Deposit
- Free Wellness Screening
- Free confidential counseling services
- Employee Discount Programs
- Recognition Programs
- Referral Programs
- Tremendous growth opportunities for hard workers!
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
