Remote Clinical Documentation Specialist I

AdventHealth; Minneola (FL); Remote; 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

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in Florida is seeking a Clinical Documentation Specialist with a strong nursing background and experience in obstetrics and newborn care. The role focuses on educating the patient-care team about documentation guidelines and collaborating with physicians to ensure accurate records.

Responsibilities include resolving coding discrepancies, reviewing records for SOI/ROM accuracy, and timely CDI clarification, while maintaining physician responsiveness and contributing to department

Qualifications

• RN with strong clinical background in obstetrics, high-risk obstetrics, and newborn care.
• Experience in clinical documentation improvement and coding processes preferred.
• Bachelor's in Nursing preferred; Master's in Nursing preferred.

Responsibilities

• Educate care teams on documentation guidelines and regulations.
• Collaborate with physicians and staff to ensure accurate clinical documentation.
• Resolve discrepancies in assignments and coding issues.
• Perform timely reviews of concurrent medical records for SOI and ROM.
• Input data into CDI software and generate credible clarifications for inpatients.
• Maintain high physician response rate and participate in department meetings.

Skills

Interpersonal skills

Written communication

Prioritization

Critical thinking

Physician relations

Education

Bachelor's Nursing

Master's Nursing

Tools

Clinical Documentation Software

Job description

AdventHealth in Florida is seeking a Clinical Documentation Specialist with a strong nursing background and experience in obstetrics and newborn care. The role focuses on educating the patient-care team about documentation guidelines and collaborating with physicians to ensure accurate records.

Responsibilities include resolving coding discrepancies, reviewing records for SOI/ROM accuracy, and timely CDI clarification, while maintaining physician responsiveness and contributing to department