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AdventHealth Clinical Documentation Specialist Full Time Days $3,000 Sign On $3,000 Relocation Assistance in Tavares, Florida


Description

Clinical Documentation Specialist
Location Address: 1000 Waterman Way Tavares, Florida 32778

Top Reasons to Work at AdventHealth Waterman

  • Career Growth and Advancement Potential
  • Join a Faith Based, Non-Profit Healthcare Organization
  • Community Based Hospital Focused on Patient Care
Work Hours/Shift:

Full Time

You Will Be Responsible For:

  • Performs accurate and timely review of electronic health record to initiate work sheets on DRG payers for inpatient admissions. 
  • Demonstrates the ability to analyze and identify areas of potential gaps representing opportunities for documentation improvement in order to reflect severity/complexity profile making an appropriate determination whether a physician clarification/query is required.
  • Possess the ability to formulate clinically credible documentation/ clarifications/queries; utilizing effective and appropriate communication options for physician follow up, which will occur in a timely manner.
  • Identifies the need and presence of “MCC” or “CC” for the DRG
  • Demonstrates efficiency in Guide (JATA) guidelines, software and accurate input of data into CDMP Trak.  As well as, the ability to review archived cases and generate reports as needed.
 

Qualifications

What You Will Need:
  • Requires excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication as well as strong interpersonal skills.
  • Knowledge of Pathophysiology and disease process
  • Working expertise in the use of Microsoft Word, Power-Point and Excel programs. 
  • Proficient typing skills with the ability to accurately type >35 words per minute.
  • State of Florida RN License
  • Minimum 5 years of recent hospital experience
  • BSN preferred
  • ICU, CCU, or strong Med/Surg. Experience preferred.  
  • Utilization Review or coding experience preferred
  • CCDS – Certified clinical documentation specialist preferred
 
Job Summary:

The CDS is responsible for reviewing medical records to facilitate the accurate representation of the severity of illness.  This involves extensive record review, interaction with physicians, HIM professionals and nursing staff.   Active participation in team meetings and education of staff in the CDMP® process is a key role.

 


This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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.

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