Clinical Documentation Specialist: Elevate Care Quality

adventhealth; Colorado; On-site; USD 50,000 - 92,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

PTO from Day One

403-B Retirement Plan

Parental Leave

Job summary

AdventHealth is seeking a Clinical Documentation Specialist to review and improve inpatient documentation, ensuring SOI and ROM accuracy. You will educate the care team, collaborate with physicians, and drive documentation quality and compliance in a fast-paced hospital setting.

Role requires RN licensure or higher and a strong background in acute care. On-site position in Denver, CO with comprehensive benefits and professional growth opportunities.

Qualifications

• Bachelor's degree in Nursing preferred or higher.
• RN licensure required or eligible.
• Clinical documentation knowledge a plus.

Responsibilities

• Review concurrent medical records for SOI and ROM accuracy.
• Input data into clinical documentation software for metrics.
• Identify opportunities to improve documentation quality.
• Educate care team on documentation regulations and guidelines.
• Communicate with physicians to ensure complete and accurate documentation.
• Participate in department meetings and ongoing professional development.

Skills

Interpersonal skills

Communication

Organization

Learning ability

Dependable

Critical thinking

Education

Bachelor's in Nursing

Master's in Nursing

Job description

AdventHealth is seeking a Clinical Documentation Specialist to review and improve inpatient documentation, ensuring SOI and ROM accuracy. You will educate the care team, collaborate with physicians, and drive documentation quality and compliance in a fast-paced hospital setting.

Role requires RN licensure or higher and a strong background in acute care. On-site position in Denver, CO with comprehensive benefits and professional growth opportunities.