Inpatient Clinical Documentation Specialist

1103 Team Member Services; Daytona Beach (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 from day one

403-B retirement plan

Paid parental leave

Career development

Well-being resources

Mental health resources and support

Pet benefits

Job summary

AdventHealth is seeking a Clinical Documentation Specialist to improve inpatient documentation accuracy and support coding compliance. You will collaborate with physicians and care teams to clarify diagnoses and ensure complete records.

Applicants should have RN/PA/CRNP/MD options, ECFMG eligibility, and experience in acute care settings. The role requires a strong emphasis on literacy, critical thinking, and cross-functional training.

Qualifications

• Assists in documentation quality and adherence to regulations.
• 4+ acute care nursing experience required.
• 2+ clinical documentation specialist experience required.

Responsibilities

• Recognizes opportunities for documentation improvement and clarifications.
• Educates care teams on documentation regulations and guidelines.
• Communicates with physicians to ensure accurate coding and documentation.
• Inputs data accurately into assigned software for reliable metrics.

Skills

Interpersonal skills

Communication

Organizational skills

Computer skills

Critical thinking

Pathophysiology knowledge

Clinical documentation

Coding knowledge

Quality guidelines

Education

Associates

Field of Study: nursing or health related field

Tools

Healthcare software

Job description

AdventHealth is seeking a Clinical Documentation Specialist to improve inpatient documentation accuracy and support coding compliance. You will collaborate with physicians and care teams to clarify diagnoses and ensure complete records.

Applicants should have RN/PA/CRNP/MD options, ECFMG eligibility, and experience in acute care settings. The role requires a strong emphasis on literacy, critical thinking, and cross-functional training.