Clinical Documentation Specialist I – CDI & Compliance

adventhealth; Palm Coast (FL); On-site; USD 67,000 - 124,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off

403-B Retirement Plan

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in Palm Coast, FL is seeking a Clinical Documentation Specialist to educate the patient-care team on documentation guidelines and collaborate with physicians to ensure accurate and complete clinical documentation. You will review records, resolve coding discrepancies, and contribute to quality metrics.

The ideal candidate holds an Associates degree in a health-related field and an active RN license or physician equivalent, with strong communication and critical-thinking abilities.

Qualifications

• Associates degree in nursing or health-related field required.
• RN license or equivalent required (RN/PA/CRNP/APRN/MD/DO/ECFMG).
• Strong documentation and coding knowledge preferred.
• Excellent communication and critical-thinking abilities.

Responsibilities

• Educates patient-care team on documentation regulations and guidelines.
• Communicates with physicians and providers to ensure accurate clinical documentation.
• Resolves discrepancies in assignments and coding with staff.
• Performs timely chart reviews for SOI, ROM and quality metrics.
• Participates in department meetings and provides education opportunities.
• Maintains high physician response rate to clarifications.

Skills

Interpersonal skills

Verbal communication

Written communication

Organizational skills

Prioritization

Critical thinking

Problem solving

Pathophysiology knowledge

Clinical documentation knowledge

Education

Associates degree

RN License or physician equivalent

Job description

AdventHealth in Palm Coast, FL is seeking a Clinical Documentation Specialist to educate the patient-care team on documentation guidelines and collaborate with physicians to ensure accurate and complete clinical documentation. You will review records, resolve coding discrepancies, and contribute to quality metrics.

The ideal candidate holds an Associates degree in a health-related field and an active RN license or physician equivalent, with strong communication and critical-thinking abilities.