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

Benefits from Day One

Paid Days Off from Day One

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Pet Insurance*

Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)

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 Days

Shift : Fully Remote, 8-hour workdays,

Location: Fully Remote for our Children's Hospital Orlando Florida

The community you’ll be caring for:

· Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando

· Serves as the major tertiary facility for much of the Southeast, the Caribbean and South America

· AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country

· We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year

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 Specialist (CDS) strategically facilitates and obtain 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 attending 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 value you’ll bring to the team:

•Demonstrates, through behavior, Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork

•Reviews concurrent medical record for compliance including completeness and accuracy for severity of illness (SOI)

and quality using the Compliant Documentation Management Program (CDMP) documentation strategies.

•Completes accurate and timely record review to ensure the integrity of documentation compliance. Completes accurate

and concise input of data into CDMP Trak resulting in accurate metrics provided by the CDMP program. Understands

and supports CDMP documentation strategies (upon completion of training) and continues to educate self and team

members using educational tools, videos and provided WebEx's.

•Recognizes opportunities for documentation improvement using strong critical-thinking skills. Uses critical thinking

and sound judgment in decision making keeping reimbursement considerations in balance with regulatory compliance.

Initiates/formulates CDMP 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.

Qualifications

The expertise and experiences you’ll need to succeed:

EDUCATION AND EXPERIENCE REQUIRED:

Associate and 0 years experience

EDUCATION AND EXPERIENCE REQUIRED:

•Minimum of five years acute care nursing experience with specific medical/surgical, Intensive Care, post-acute

care unit, or Emergency Department experience.

EDUCATION AND EXPERIENCE PREFERRED:

•BSN, MSN

•Clinical Documentation Specialist experience

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

• Educational Commission for Foreign Medical Graduates

• Advanced RN Practitioner

• Physician Assistant

• Registered Nurse

LICENSURE, CERTIFICATION OR REGISTRATION:

Please be advised that all licenses and certifications listed are not required. If you only have one or some of those

listed, you may still be eligible for this position.

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.

PREFERRED:

•CCDS (Certified Clinical Documentation Specialist) certification

•CDIP (Certified Documentation Improvement Practitioner) 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: Clinical/Medical Informatics

Organization: AdventHealth Orlando

Schedule: Full-time

Shift: 1 - Day

Req ID: 24040112

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.