Senior CDI Specialist: Elevate Documentation & Coding

adventhealth; Biñan; On-site; PHP 3,060,000 - 5,690,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off

Parental Leave

Career Development

Job summary

AdventHealth is seeking a dedicated Clinical Documentation Specialist to review ambulatory encounters and ensure accurate ICD-10 coding and documentation. You will collaborate with physicians and care teams to identify documentation gaps, conduct timely follow-up reviews, and educate staff on guidelines to improve accuracy, compliance, and reimbursement outcomes.

Position offers full-time day shift in Maitland, FL, with comprehensive benefits and opportunities for professional development within

Qualifications

• High level of interpersonal and communication skills to establish rapport with physicians and healthcare team
• Proficient in MS Office (Word, Outlook, Excel, PowerPoint)
• Experience with CMS and HHS Hierarchical Condition Category coding and auditing (Required)
• Clinical experience per licensure/certification requirements listed

Responsibilities

• Reviews clinical documentation and coding during ambulatory encounters to ensure accuracy and completeness.
• Identifies documentation and coding opportunities, communicates findings to physicians, and conducts timely follow-up reviews.
• Ensures appropriate clinical documentation is recorded with accurate ICD-10 coding.
• Performs concurrent medical record reviews to improve documentation quality.
• Supports coding compliance, accurate reporting, and improved patient outcomes.
• Maintains knowledge of coding and billing rules to ensure documentation supports reimbursement.
• Participates in ambulatory and payor coding/documentation compliance activities per Federal and State regulations.
• Educates physicians and staff on documentation guidelines and best practices.
• Facilitates improvements to capture patient severity of illness and risk factors.
• Collaborates with physicians, case management, nursing, and coding professionals.
• Assists coding staff in developing and maintaining coding guidelines and procedures.
• Submits queries to clinicians to ensure complete documentation.
• Performs other duties as assigned.

Skills

Interpersonal skills

MS Office

CMS/HCC knowledge

Education

Bachelor's degree

Job description

AdventHealth is seeking a dedicated Clinical Documentation Specialist to review ambulatory encounters and ensure accurate ICD-10 coding and documentation. You will collaborate with physicians and care teams to identify documentation gaps, conduct timely follow-up reviews, and educate staff on guidelines to improve accuracy, compliance, and reimbursement outcomes.

Position offers full-time day shift in Maitland, FL, with comprehensive benefits and opportunities for professional development within