Clinical Doc Specialist

AdventHealth

Denver (CO)

On-site

USD 50,000 - 92,000

Full time

2 days ago

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Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off from Day One

403-B Retirement Plan

Parental Leave (4 weeks)

Job summary

AdventHealth in Denver, Colorado is seeking a Clinical Documentation Specialist to review and improve inpatient documentation for accuracy and compliance. This full-time daytime role involves working with physicians and care teams to ensure high-quality clinical records and accurate coding.

You will educate staff, participate in meetings, and maintain a high physician response rate while advancing your professional growth within AdventHealth's supportive environment.

Qualifications

Excellent interpersonal and verbal/written communication skills
Strong computer/keyboard skills and ability to use multiple software programs
Ability to learn and develop Clinical Documentation Specialist skills
Dependable, self-motivated and professional attitude

Responsibilities

Reviews concurrent medical records for SOI, ROM, and quality.
Completes timely record reviews to ensure documentation integrity.
Inputs data into software for precise metrics from reconciliation.
Educates patient-care team on documentation regulations and guidelines.

Skills

Interpersonal skills

Communication

Critical thinking

Prioritization

Clinical knowledge

Education

Bachelor's of Nursing

Master's of Nursing

Job description

Our Promise To You

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that

Our Promise To You

All the benefits and perks you need for you and your family:

Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits

Schedule

Full time

Shift

Day (United States of America)

Address

2525 S DOWNING ST

City

DENVER

State

Colorado

Postal Code

80210

Job Description

Reviews concurrent medical records for compliance, completeness, and accuracy regarding severity of illness (SOI), risk of mortality (ROM), and quality.
Completes accurate and timely record reviews to ensure the integrity of documentation compliance.
Inputs data accurately into software, resulting in precise metrics obtained through the reconciliation process.
Recognizes opportunities for documentation improvement using strong critical-thinking skills.
Initiates and formulates CDI severity worksheets and clinically credible clarifications for inpatients, presenting opportunities for improved documentation compliance to clinical team members.
Transcribes documentation clarifications as appropriate to ensure documentation compliance.
Educates members of the patient-care team regarding documentation regulations and guidelines, including physicians, allied health practitioners, and nursing staff.
Communicates effectively with physicians and other healthcare providers to ensure appropriate, accurate, and complete clinical documentation.
Collaborates with staff to resolve discrepancies with assignments and other coding issues. Conducts well-timed follow-up case reviews on all concurrent cases, prioritizing those with clinical documentation clarifications.
Participates in department meetings, providing feedback on outstanding issues and presenting educational opportunities. Assumes personal responsibility for professional growth, development, and continuing education to maintain a high level of proficiency.
Maintains a 95% physician response rate to all valid clarifications.
Performs other duties as assigned.

Knowledge, Skills, And Abilities

Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrates excellent physician relations [Required]
Able to organize and present information clearly and concisely; excellent computer and keyboarding skills; ability to use multiple software programs simultaneously; high degree of prioritization skills [Required]
Ability to learn/develop and fine-tune the skills necessary to perform optimally as a Clinical Documentation Specialist [Required]
Dependable, self-motivated and pleasant [Required]
Utilize and demonstrate excellent critical-thinking, problem-solving and deductive-reasoning skills [Required]
Knowledge of pathophysiology, disease processes and treatments [Required]
Strong ability to organize/triage work and manage multiple priorities at once [Required]
Knowledge of clinical documentation requirements that identify clinical conditions or procedures [Preferred]
Coding background [Preferred]
Knowledge of quality guidelines [Preferred]

Education

Bachelor's of Nursing [Preferred]
Master's of Nursing [Preferred]

Field Of Study

completed in health service administration, business administration, system performance engineering, industrial engineering, or public health

Work Experience

5+ acute care nursing experience with specific medical/surgical, intensive care, post-acute care unit, or emergency department experience. [Required]
Clinical Documentation Specialist experience [Preferred]

Additional Information

Licenses And Certifications