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Clinical Documentation Specialist II
- AdventHealth (Tampa, FL)
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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.
All the benefits and perks you need for you and your family:
+ Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
+ Paid Time Off from Day One
+ 403-B Retirement Plan
+ 4 Weeks 100% Paid Parental Leave
+ Career Development
+ Whole Person Well-being Resources
+ Mental Health Resources and Support
+ Pet Benefits
Schedule:
Full time
Shift:
Day (United States of America)
Address:
3100 E FLETCHER AVE
City:
TAMPA
State:
Florida
Postal Code:
33613
Job Description:
+ Inputs data into CDI Software accurately and concisely, resulting in precise metrics obtained through the reconciliation process.
+ 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 physicians, nurse practitioners, and other clinical team members.
+ Transcribes documentation clarifications as appropriate for SOI, ROM, PSI, HCCs, and HACs 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. [Required]
• Coding background. [Required]
• Knowledge of quality guidelines. [Required]
Education:
• Bachelor's of Nursing [Preferred]
Field of Study:
• Healthcare-related field
Work Experience:
• 2+ years of clinical documentation specialist [Required]
• 5+ years acute care experience with specific medical/surgical, intensive care, post-acute care unit, or emergency department experience [Required]
Additional Information:
• N/A
Licenses and Certifications:
• Advanced Practice Registered Nurse (APRN) [Required] OR
• Educational Commission for Foreign Medical Graduates (ECFMG) [Required] OR
• Physician Assistant (PA) [Required] OR
• Registered Nurse (RN) [Required] OR
• Nurse Practitioner (NP) [Required]
• 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:
$70,682.60 - $131,480.21
_This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._
**Category:** Registered Nurse
**Organization:** AdventHealth Tampa
**Schedule:** Full time
**Shift:** Day
**Req ID:** 150730615
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