NICU Clinical Documentation Integrity Contract %2478.11/hr. StaffFlex CFD

AdventHealth Central Florida; Orlando (FL); Remote; USD 70,000 - 80,000; Full time

Job summary

AdventHealth Central Florida is seeking a Clinical Documentation Specialist (CDS) for remote work, aimed at ensuring accurate clinical documentation. The role requires substantial nursing experience and expertise in documentation improvement while collaborating with healthcare teams. Enjoy a competitive hourly rate and a schedule conducive to work-life balance.

Qualifications

• 5+ years of nursing experience, preferably in NICU.
• CCDS, CDIP certification, understanding of APR-DRG.
• 2 years of CDI experience or 3+ recent CDI experience.

Responsibilities

• Review medical records for compliance and accuracy.
• Complete record reviews and input data into CDI software.
• Educate team on documentation guidelines and regulations.

Skills

Interpersonal skills

Verbal communication

Written communication

Organizational skills

Computer skills

Knowledge of pathophysiology

Clinical documentation reviews

Education

BSN or higher in healthcare field

Job description

NICU Clinical Documentation Integrity Contract $78.11/hr. StaffFlex CFD

Join to apply for the NICU Clinical Documentation Integrity Contract $78.11/hr. StaffFlex CFD role at AdventHealth Central Florida

Job Details

Position: Clinical Documentation Specialist (CDS) - NICU

Type: Contract, Remote

Schedule: 8am-5pm, Days

Location: AdventHealth Hospital within CFD Division (100% Remote)

Responsibilities

• Review medical records for compliance, completeness, and accuracy regarding severity of illness, risk of mortality, and quality.
• Complete timely record reviews and input data into CDI software to ensure accurate metrics.
• Identify opportunities for documentation improvement and communicate effectively with physicians and healthcare team members.
• Educate team members on documentation guidelines and regulations, including Medicare updates.
• Collaborate with HIM staff to resolve discrepancies and ensure proper coding and DRG assignments.
• Maintain high physician response rates and meet productivity metrics.
• Participate in departmental meetings and ongoing education.

Qualifications

• 5+ years of nursing experience, preferably in NICU, with at least 2 years in CDI NICU chart reviews.
• CCDS, CDIP certification, and understanding of APR-DRG and SOI/ROM drivers.
• Ability to produce high-quality, impactful queries.
• BSN or higher in healthcare field with 2 years of CDI experience, or 3+ years recent CDI experience.

Knowledge and Skills

• Excellent interpersonal, verbal, and written communication skills.
• Strong organizational, prioritization, and computer skills.
• Knowledge of pathophysiology, disease processes, and treatments.
• Experience with clinical documentation reviews, Medicare risk adjustment, coding, billing, and auditing.

Summary

The Clinical Documentation Specialist (CDS) collaborates with physicians and healthcare teams to ensure accurate clinical documentation to support appropriate severity of illness, risk of mortality, and quality measures. The role involves education, review, and communication to optimize documentation practices and regulatory compliance.