CDI Specialist II: Elevate Clinical Documentation

AdventHealth; Winter Haven (FL); On-site; USD 53,000 - 99,000; Full time

Benefits offered by this job

Medical, Dental, Vision insurance

Paid Time Off from Day One

403-B retirement plan

Parental leave

Job summary

AdventHealth in Winter Haven, FL seeks a Clinical Documentation Specialist to review concurrent records for SOI and ROM, ensuring documentation accuracy and compliance. You will input data into CDI software to support reliable metrics and physician communications.

The role requires 4+ acute care nursing experience and 5+ coding experience, with strong communication and critical-thinking skills. Position offers day shift, full-time schedule and competitive benefits.

Qualifications

• Excellent interpersonal and written communication skills.
• Ability to organize, prioritize and manage multiple tasks.
• Strong critical-thinking, problem-solving and deductive-reasoning abilities.
• Knowledge of pathophysiology and disease treatments.

Responsibilities

• Review concurrent medical records for SOI, ROM, and quality.
• Ensure timely, accurate data input into CDI software for metrics.
• Support and educate team on CDI documentation strategies and regulations.
• Identify opportunities for documentation improvement with clinicians.
• Communicate effectively with physicians and HIM staff to resolve discrepancies.
• Maintain a high physician response rate to clarifications.
• Participate in department meetings and ongoing education.

Education

High School Grad / Equiv

Job description

AdventHealth in Winter Haven, FL seeks a Clinical Documentation Specialist to review concurrent records for SOI and ROM, ensuring documentation accuracy and compliance. You will input data into CDI software to support reliable metrics and physician communications.

The role requires 4+ acute care nursing experience and 5+ coding experience, with strong communication and critical-thinking skills. Position offers day shift, full-time schedule and competitive benefits.