All the benefits and perks you need for you and your family:
Benefits and Paid Days Off from Day One
Paid Parental Leave
Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense)
Student Loan Repayment Program
Whole Person Well-being and Mental Health Resources
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
Location: AdventHealth Daytona Beach – 301 Memorial Medical Parkway, Daytona Beach, FL 32117
The role 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 Quality Liaison 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 Clinical Documentation Quality Liaison educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, care management and quality abstracters. The Clinical Documentation Quality Liaison provides timely review and response to Iodine Retrospect Cases. Tracking and trending patterns for areas of opportunity CDI education. The Clinical Documentation Quality Liaison 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 value you’ll bring to the team:
Completes regional mortality reviews to ensure the ROI/SOM scores are appropriate and consistent in documentation of care delivered.
Completes accurate and timely record review to ensure the integrity of documentation compliance.
Completes accurate and concise input of data into Iodine resulting in accurate metrics provided by the CDI program. Understands and supports CDI documentation strategies (upon completion of training) and continues to educate self and team members using educational tools, videos and provided WebEx’s.
Uses critical thinking and sound judgment in decision making keeping reimbursement 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 medical staff.
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 attending physicians, allied health practitioners, nursing, and care management. This includes quarterly 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 regional case reviews on all 2nd level review cases with priority given for resolution of those with clinical documentation clarifications
Reviews and responds to clinical validation denials to ensure compliance with Clinical Documentation Integrity guidelines.
Tracks and trends denials to provide education and feedback to CDI teams on areas of 2nd level review documentation improvement.
Maintains a 97% physician response rate to all valid clarifications
Reviews 100% of mortality cases utilizing a high 2nd level review utilizing Premier risk calculator and AHS QSR application.
Attending monthly IRT meetings and participate in multidisciplinary QSR process.
Review post final coding opportunities in addition to sending post discharge clarifications to providers, confirming additional opportunities found after discharge.
Advanced level review post discharge applying advanced level Clinical Documentation concepts and strategies that are compliant with industry standards and regulations.
The expertise and experiences you’ll need to succeed:
Minimum qualifications:
Associate of Science degree in Nursing
Current, active State of Florida license as a Registered Nurse
Certified Clinical Documentation Specialist (CCDS) certification or Clinical Documentation Improvement Professional (CDIP)
Five (5) years or more of acute clinical experience
Three (3) years or more of prior Clinical Documentation Specialist experience
Knowledge of clinical documentation requirements that identify clinical conditions or procedures
Preferred qualifications:
Bachelor of Science degree in Nursing (BSN) or Master's Degree in Nursing (MSN)
Background in medical coding
Experience educating in a healthcare or Clinical Documentation Improvement setting
Familiarity with Center for Medicare and Medicaid Services Programs
Knowledge of quality guidelines and regulatory guidelines
Certified Coding Specialist (CCS) certification
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 Daytona Beach
Schedule: Full-time
Shift: 1 - Day
Req ID: 24045751
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.