Clinical Documentation Integrity Specialist, Full-Time, Baptist Metro Square

Baptist Health (Jacksonville); United States; On-site; USD 65,000 - 95,000; Full time

Job summary

Baptist Health in Jacksonville, FL seeks a Clinical Document Integrity Specialist to join the Clinical Documentation Integrity (CDI) team at Metro Square. This full-time day shift role focuses on improving documentation quality, accuracy and DRG assignment through collaboration with physicians, nursing and coding staff.

The ideal candidate has acute care nursing and coding experience, strong analytical skills, and a track record of cross-disciplinary teamwork to support compliant patient care

Qualifications

• 3–5 years of coding experience.
• 3–5 years of experience working in an acute care setting.
• Minimum of four years of acute care nursing experience.
• 3–5 years of utilization review experience preferred.
• 3–5 years of knowledge of Coding Clinic guidelines preferred.
• Leadership experience preferred.
• Education — ASN, BSN or MD; Licensure as RN/ARNP/NP/PA.

Responsibilities

• Facilitate improvements in clinical documentation quality, completeness and compliance through collaboration with physicians, nursing staff and coding staff.
• Conduct initial and concurrent reviews of patient admissions to ensure accurate documentation.
• Ensure documentation supports appropriate DRG assignments as agreed with physicians.
• Monitor patient status assignments and track case progress with approved tools.
• Serve as a resource to physicians and coding staff on clinical documentation issues.
• Identify opportunities to improve clinical documentation and reporting of patient care.

Skills

Coding experience

Acute care

Analytical skills

Collaboration

Education

ASN

BSN

MD

Job description

About Baptist Health Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital. Baptist Health is hiring a Clinical Document Integrity Specialist to join our Clinical Documentation Integrity (CDI) team at Baptist Metro Square, located in Jacksonville, FL . This is a full-time day shift opportunity. Our Clinical Documentation Integrity team works collaboratively with physicians, nursing, patient care providers, and coding staff to improve the quality, completeness, and compliance of clinical documentation. In this role, you will help ensure medical records accurately reflect patient conditions and support appropriate inpatient DRG assignments. The ideal candidate brings acute care and coding experience, strong analytical skills, and the ability to collaborate with clinical teams.

Clinical Document Integrity Specialist Job Responsibilities:

• Facilitate improvements in the quality, completeness, and compliance of clinical documentation through collaboration with physicians, nursing, patient care providers, and coding staff.
• Conduct initial and concurrent reviews of patient admissions to ensure clinical documentation is accurate and complete.
• Ensure documentation accurately reflects patient outcomes and supports appropriate DRG assignment, to the extent agreed upon by the physician.
• Monitor patient status assignments and use designated, approved tools to track case progress.
• Serve as a resource to physicians and coding staff regarding clinical documentation and the appropriateness of inpatient DRG assignment.
• Identify opportunities to improve clinical documentation and support accurate, compliant reporting of patient care.

Clinical Document Integrity Specialist Experience:

• 3–5 years of coding experience required.
• 3–5 years of experience working in an acute care setting required.
• Minimum of four years of acute care nursing experience.
• 3–5 years of utilization review experience preferred.
• 3–5 years of knowledge of Coding Clinic guidelines preferred.
• Leadership experience preferred.

Education & Credential Requirements:

• Education — one of the following required: Associate of Science in Nursing (ASN).
• Bachelor of Science in Nursing (BSN).
• Doctor of Medicine (MD).
• Licensure — one of the following required: Licensed Registered Nurse (RN).
• Licensed Advanced Registered Nurse Practitioner (ARNP).
• Licensed Nurse Practitioner (NP).
• Licensed Physician Assistant (PA).

Preferred Certifications:

• Certified Documentation Improvement Professional (CDIP).
• Certified Clinical Documentation Specialist (CCDS).

Additional Responsibilities:

• Responsible for facilitating the improvement in the overall quality, completeness and compliance of the clinical documentation through extensive interaction with physicians, nursing, other patient care givers and coding staff to ensure that documentation supports the DRG assigned to each case to the extent that the physician concurs
• Ensures that the documentation used in measuring patient outcomes is accurate and complete by conducting initial and concurrent reviews on admissions
• Monitors assignment of patient status; utilizes designated and approved tools to track progress; serves as resource to physicians and coding regarding issues related to the appropriateness for inpatient DRG assignment
• Minimum of four years experience in acute care nursing experience, leadership preferred.

Primary Location:

Primary Location: Metro Square 3563 Philips Hwy Jacksonville, FL 32207 United States of America

Baptist Health’s care for the community spans generations. Together, we’re the largest group of people in Northeast Florida focused on innovative health care for patients, improving the health equity of our neighbors, and creating a welcoming workplace for team members where everyone’s voice is heard.