Clinical Documentation Integrity Specialist

Baycare; Clearwater (FL); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid time off

Tuition assistance

401K match

Bonus program

Job summary

BayCare is seeking a Clinical Documentation Integrity Specialist to join our team remotely (Florida resident). The role focuses on ensuring accuracy of clinical documentation, collaborating with physicians and the care team to improve documentation and coding for appropriate patient status.

Requirements include active RN license in Florida and 2+ years of acute care RN experience; CDI experience preferred. BayCare offers comprehensive benefits and opportunity for professional growth while

Qualifications

• Active RN license in Florida
• 2 years RN acute care experience within the last 5 years
• Experience with CDI programs or documentation improvement preferred

Responsibilities

• Ensure integrity and accuracy of advanced practice clinical documentation.
• Interact with providers and healthcare team to obtain diagnoses documentation.
• Deliver CDI program workflows and analytics to support accurate patient status reporting.
• Collaborate with physician advisor to achieve CDI goals and accurate documentation.
• Promote capture of clinical severity to reflect services rendered.
• Perform other duties as assigned.

Skills

RN

Critical thinking

Clinical documentation

Teamwork in healthcare

Education

Associates - Nursing

Bachelors - Nursing

RN - Florida license

CCDS

CCS

CPC

Job description

Full Time

Job Code Minimum Salary

Minimum Salary

Maximum Salary

Clearwater:Home

Details

Join the team that is revolutionizing health care – BayCare Health System

Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility, and clinical excellence.

Title: Clinical Documentation Integrity Specialist

Facility: Remote (Must Reside in the State of Florida)

Responsibilities

• Professional Registered Nurse with sound clinical knowledge and strong critical thinking skills.
• Accountable for the integrity and accuracy of advanced practice clinical documentation through concurrent interaction with providers and other members of the healthcare team.
• Ensure clinical documentation integrity through proficient delivery of the Clinical Documentation Integrity (CDI) program workflows, including obtaining appropriate provider diagnoses documentation into the medical record in order to achieve legitimate code assignment and accurate reporting of the patient's condition and care provided.
• Contribute to process improvement efforts by designing, developing, implementing and supporting the CDI Program reporting and analytics.
• Collaborate with the physician advisor to achieve CDI program goals and accurate documentation representation of medical necessity for appropriate patient status.
• Promote the capture of clinical severity to support the level of service rendered to relevant patient populations.
• Perform other duties as assigned.

Benefits

BayCare offers a competitive total reward package including:

• Benefits (Medical, Dental, Vision)
• Paid Time Off
• Tuition Assistance
• 401K Match and additional yearly contribution
• Annual performance appraisals and team award bonus
• Family resources and wellness opportunities
• Community perks and discounts

Experience

• Required - 2 years RN experience in Acute Care within the last 5 years
• Preferred - 2 years Clinical Documentation

Certification

• Required - RN - Florida Department of Health
• Preferred - CCDS - Association of Clinical Documentation Integrity Specialist
• Preferred - CCS - American Health Information Management Association
• Preferred - CPC - American Academy of Professional Coders

Education

• Required - Associates - Nursing
• Preferred - Bachelors - Nursing

Status: Full Time, Exempt: Yes

Shift Hours: 8:00am - 4:30pm (Flexible)

Equal Opportunity Employer Veterans/Disabled