Clinical Documentation Specialist II — Drive CDI Excellence

1103 Team Member Services; United States; On-site; USD 53,000 - 99,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

PTO from Day One

403(b) Plan

Parental Leave

Career Development

Mental Health Resources

Pet Benefits

Job summary

AdventHealth seeks a Clinical Documentation Specialist to review concurrent medical records for severity of illness, risk of mortality, and quality, ensuring accurate CDI documentation. You will input data into CDI software and support documentation strategies through ongoing education and collaboration with physicians and the care team.

The role requires strong critical-thinking, excellent communication, and knowledge of clinical documentation standards, with a pathway to professional growth in

Qualifications

• Excellent interpersonal, written, and verbal communication skills.
• Ability to organize and present information clearly and concisely.
• Knowledge of clinical documentation requirements and coding background is a plus.

Responsibilities

• Review concurrent medical records for SOI, ROM, and quality.
• Input data into CDI software accurately for trafficking metrics.
• Educate team on documentation strategies and guidelines.
• Communicate with physicians and healthcare providers to resolve clarifications.
• Participate in department meetings and follow-up case reviews.

Skills

Interpersonal skills

Written communication

Organize information

Computer skills

Critical thinking

Pathophysiology knowledge

Documentation knowledge

Coding background

Education

High School Grad or Equiv

Job description

AdventHealth seeks a Clinical Documentation Specialist to review concurrent medical records for severity of illness, risk of mortality, and quality, ensuring accurate CDI documentation. You will input data into CDI software and support documentation strategies through ongoing education and collaboration with physicians and the care team.

The role requires strong critical-thinking, excellent communication, and knowledge of clinical documentation standards, with a pathway to professional growth in