CDI Specialist – Elevate Clinical Documentation

Baptist Health; Boca Raton (FL); On-site; USD 74,000 - 96,000; Full time

Job summary

Baptist Health in Boca Raton is hiring a Clinical Document Integrity Specialist 2 to improve the quality and completeness of clinical documentation and ensure accurate reimbursement for DRG-based payors.

The role requires clinical experience, leadership, and familiarity with Milliman and Interqual. You will educate care teams, participate in CDMP processes, and support managed care network development on a full-time basis.

Qualifications

• Medical degree required: Doctor of Medicine or DO.
• RN with MBA preferred; international graduates of medical school.
• At least four years of clinical inpatient experience (adult/pediatrics/OB/critical care).
• CDIS certification preferred; Milliman and Interqual experience helpful.
• Leadership and knowledge of coding, MS-DRG, APR-DRG, utilization management, discharge planning, and managed care.
• Experience with healthcare web-based applications (Milliman, InterQual).
• Basic computer skills; Windows-based software.
• Foreign Medical Graduate required for hires after 06/04/2023; incumbents may be CPC or RN.

Responsibilities

• Improve the quality and completeness of clinical documentation.
• Facilitate modifications to documentation to ensure appropriate DRG reimbursement.
• Ensure accuracy of clinical information used for outcomes measurement.
• Educate all patient care team members on an ongoing basis.
• Actively participate in team meetings and CDMP education.

Skills

Leadership experience

Communication with physicians

Utilization management

Case management

Discharge planning

Managed care experience

Clinical documentation improvement

Windows-based software

Education

Doctor of Medicine / DO

RN with MBA

Foreign Medical Graduate

Tools

Milliman

Interqual

Job description

Baptist Health in Boca Raton is hiring a Clinical Document Integrity Specialist 2 to improve the quality and completeness of clinical documentation and ensure accurate reimbursement for DRG-based payors.

The role requires clinical experience, leadership, and familiarity with Milliman and Interqual. You will educate care teams, participate in CDMP processes, and support managed care network development on a full-time basis.