CDIS, RN | CDIS | FT Days

UF Health; The Villages (FL); On-site; USD 60,000 - 80,000; Full time

Job summary

UF Health is seeking a Clinical Documentation Specialist for its Spanish Plaines Hospital in The Villages, Florida. The role involves accurate documentation of clinical records, requiring strong nursing experience and effective communication with healthcare professionals. This position is integral to maintaining high-quality patient care and regulatory compliance.

Qualifications

• Preferred Bachelor's Degree.
• Florida Registered Nursing License required.
• 5 years acute care experience needed.

Responsibilities

• Review clinical records for accuracy related to MS-DRG or APR DRG.
• Interact with physicians and clinical staff to ensure accuracy.

Skills

English proficiency

Clinical record review

Education

Bachelors Degree

Diploma/Associates Degree in Nursing

Job description

Overview

UF Health Spanish Plaines Hospital, formerly known as The Villages Regional Hospital and acquired by University of Florida Health in January 2020, has been serving residents of The Villages as well as patients in Lake, Sumter and Marion counties since 2002. At UF Health The Villages Hospital, we are committed to providing the community with leading-edge patient care, clinical training and research programs. Our teams of physicians and clinical staff work together to offer specialty services, advanced technology and clinical studies – bringing world-class health care closer to you and your loved ones.

We are part of UF Health Central Florida, a not-for-profit health care system and the largest most comprehensive provider of health care services in the region. UF Health Central Florida provides inpatient acute hospital services at UF Health Spanish Plaines Hospital and UF Health Leesburg Hospital, inpatient rehabilitation services at UF Health Rehab Hospital – The Villages and diagnostic laboratory services at several locations. We take pride in providing progressive, innovative technology, along with building strong relationships with patients, families, physicians and residents of the communities we serve.

Responsibilities

The CDS reviews the clinical record for accuracy related to the MS-DRG or the APR DRG, co-morbidities and complications, has extensive interaction with physicians, nurses, coders and other clinical staff to ensure the clinical record accurately reflects the level of services rendered.

Qualifications

Education:

- Bachelors Degree (Preferred)

- Diploma/Associates Degree in Nursing

Licensure/Certification/Registration:

- Florida Registered Nursing License

- Passing score on Clinical Competency Exam

Special Skills/Qualifications/Additional Training/Experience Required:

Must be able to read, write, speak and understand English

- 5 years (ICU, critical care, med surg or other acute care experience)