CDI Physician Advisor: Clinical Documentation Leader

AdventHealth; Ormond Beach (FL); On-site; USD 150,000 - 210,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off

403-B Retirement Plan

Parental Leave - 4 weeks

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Job summary

AdventHealth in Ormond Beach, Florida seeks a Physician Advisor for Clinical Documentation Improvement (CDI) to lead and liaison between CDI, physicians, and coding teams. You will ensure documentation reflects patient care complexity and supports optimal reimbursement while maintaining regulatory compliance.

The role requires board-certified MD/DO with 3+ years CDI-related experience, strong communication, and a passion for improving documentation quality to impact patient care outcomes.

Qualifications

• Demonstrated interest or experience in clinical documentation improvement, coding, or revenue cycle management.
• Knowledge of CDI principles, coding guidelines (ICD-10-CM, ICD-10-PCS), MS-DRG assignment, and CMS regulations.
• Excellent analytical, communication, and interpersonal skills.
• Ability to work collaboratively with diverse teams, including physicians, CDI professionals, and hospital administration.
• Familiarity with electronic health record (EHR) systems and CDI software.
• Advanced training or certification in CDI, medical coding, or healthcare compliance.
• Experience in conducting educational programs for clinical staff.
• Experience with data analysis and performance improvement initiatives.
• Certification by ABQAURP or ACPA (preferred).

Responsibilities

• Analyze patient medical records to identify areas where documentation needs improvement, including missing diagnoses, unclear clinical findings, or inconsistencies in treatment plans to ensure accurate representation of diagnoses, procedures, and severity of illness.
• Provide clinical expertise and guidance to CDI specialists and coders in clarifying documentation issues.
• Identify opportunities to enhance documentation to support the level of care provided.
• Participate in interdisciplinary case reviews and CDI meetings to drive process improvements.
• Work collaboratively with medical staff to ensure documentation accurately reflects the severity of illness, risk of mortality, and complexity of care.
• Educate physicians and advanced practice providers (APPs) on best practices in clinical documentation and coding compliance.
• Coordinate with GME to provide focused education on early development of documentation best practices to incoming residents and fellows.
• Serve as a resource for providers regarding clinical terminology, coding nuances, and regulatory requirements.
• Provide ongoing feedback and coaching to enhance documentation practices and compliance.
• Conduct physician outreach sessions to address common documentation issues and promote awareness of CDI initiatives.
• Assist in the development and refinement of compliant physician queries to attending physicians when clarification is needed on clinical details to ensure accurate coding.
• Interpret physician responses and collaborate with the CDI team to resolve any documentation discrepancies.
• Provide feedback on query responses and encourage a culture of accurate, thorough documentation.
• Participate in mortality reviews, DRG downgrade denials management, and clinical validation processes.
• Ensure clinical documentation aligns with coding guidelines, CMS regulations, and hospital policies.
• Support hospital initiatives related to compliance, audit readiness, and quality reporting metrics.
• Participate in CDI-related committees and performance improvement initiatives.
• Collaborate with quality teams on initiatives related to HACs, PSIs, and mortality reviews.
• Contribute to hospital-wide efforts to improve revenue integrity and performance benchmarks.
• Stay abreast of changes in coding standards (ICD-10-CM, CPT), CMS guidelines, and DNV requirements, and communicate their implications to clinical teams.
• Monitor and analyze CDI metrics such as LOS and GMLOS variance, Case Mix Index (CMI), and MCC/CC capture rate.
• Prepare regular reports on CDI outcomes, including recommendations to optimize reimbursement and clinical quality.
• Collaborate with hospital leadership to implement CDI strategies that improve documentation and patient outcomes.
• Performs other duties as assigned.

Skills

CDI improvement

CDI principles

Communication skills

Team collaboration

EHR systems

CDI software

CDI certification/training

Educational programs

Data analysis & performance

Education

Doctorate

Master's

Job description

AdventHealth in Ormond Beach, Florida seeks a Physician Advisor for Clinical Documentation Improvement (CDI) to lead and liaison between CDI, physicians, and coding teams. You will ensure documentation reflects patient care complexity and supports optimal reimbursement while maintaining regulatory compliance.

The role requires board-certified MD/DO with 3+ years CDI-related experience, strong communication, and a passion for improving documentation quality to impact patient care outcomes.