Clinical Documentation Expert (CDI)

AdventHealth; Daytona Beach (FL); On-site; USD 44,000 - 82,000; Part time

Benefits offered by this job

Medical, dental, vision insurance

Parental leave

Paid time off from day one

403-B retirement plan

Career development

Well-being resources

Mental health resources

Pet benefits

Job summary

AdventHealth in Daytona Beach, FL seeks a Clinical Documentation Specialist to review records for quality, SOI, and ROM. You will protect documentation integrity, input data accurately, and work with clinical teams to improve coding and documentation practices.

Requirements include RN/ACNPC or APRN credentials, with preferred CDS experience and nursing leadership abilities. This role is on-site in a day-shift schedule, offering robust benefits.

Qualifications

• Excellent interpersonal and written communication skills.
• Organize and present information clearly; proficient with multiple software programs.
• Ability to learn and develop CDS-related skills.
• Knowledge of pathophysiology and disease treatments.
• Understanding of clinical documentation requirements.

Responsibilities

• Review concurrent medical records for SOI, ROM, and quality.
• Complete accurate record reviews to ensure documentation integrity.
• Input data into software for precise metrics.
• Identify opportunities for documentation improvement.
• Create CDI severity worksheets and clinically credible clarifications.

Skills

Interpersonal skills

Clear communication

Organize information

Critical-thinking

Problem solving

Pathophysiology knowledge

Documentation requirements

Education

Bachelor's Nursing

Master's Nursing

Job description

AdventHealth in Daytona Beach, FL seeks a Clinical Documentation Specialist to review records for quality, SOI, and ROM. You will protect documentation integrity, input data accurately, and work with clinical teams to improve coding and documentation practices.

Requirements include RN/ACNPC or APRN credentials, with preferred CDS experience and nursing leadership abilities. This role is on-site in a day-shift schedule, offering robust benefits.