All the benefits and perks you need for you and your family:

·Paid Days Off from Day One

·Student Loan Repayment Program

·Career Development

·Whole Person Wellbeing Resources

·Mental Health Resources and Support

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: Full Time

Shift : Days

The commun ity you’ll be caring for: AdventHealth West Florida Division

·AdventHealth Pepin Heart Institute, known across the country for its advances in cardiovascular disease prevention, diagnosis, treatment and research.

·Surgical Pioneers – the first in Tampa with the latest robotics in spine surgery

·Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come

·Awarded the Get With The Guidelines – Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been recognized as a recipient of their Target: Stroke Honor Roll for our expertise in stroke care. We have also received certification by The Joint Commission in collaboration with the American Stroke Association as a Primary Stroke Center.

The ro le you’ll contribute:

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.

The val ue you’ll bring to the team:

· 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 concurrent 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.

· Demonstrates competence in chart audits.

· Proficient in formulating valid clarifications that are easily understood by physicians and other members of the medical team.

· Accurately reconciles all cases in CDI.

· Maintains a 98% physician response rate to all valid clarifications.

· Assists in new hire orientation through precepting and mentoring.

· Completion of educational project to be presented to CDI team yearly.

· Performs other duties as assigned.

Qualifications

T he expertise and experiences you’ll need to succeed:

· Minimum of five years acute care experience with specific medical/surgical, Intensive Care, post-acute care unit, or Emergency Department experience.

· A physician who has graduated from a medical school that is listed in the World Directory of Medical Schools ( World Directory )

· BSN or higher degree in healthcare related field, and 2 years of Clinical Documentation Specialist experience

· 3 years of recent Clinical Documentation Specialist experience in lieu of BSN

· Current active State license as a Registered Nurse, MD/DO, 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).

· CCDS (Certified Clinical Documentation Specialist) certification, or/and CDIP (Certified Documentation Improvement Practitioner) certification through AHIMA (American Health Information Management Association).

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Quality/Clinical Effectiveness

Organization: AdventHealth Tampa

Schedule: Full-time

Shift: 1 - Day

Req ID: 24040563

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.