RN Clinical Doc Integrity Spec |CDI | Day | Full Time

UF Health; Florida; On-site; USD 75,000 - 95,000; Full time

Job summary

UF Health is seeking an RN, Clinical Doc Integrity Specialist to ensure accuracy, completeness, and regulatory compliance of clinical documentation. The role collaborates with healthcare providers to enhance documentation quality and analyzes clinical records to identify discrepancies, implementing improvements within a Florida clinical setting.

The position involves monitoring adherence to documentation policies, educating clinical staff on best practices, and supporting audits and quality

Qualifications

• Graduate of an accredited school of nursing.
• 3+ years experience in clinical documentation improvement.
• Knowledge of healthcare regulations and documentation standards.
• Experience conducting audits and quality assurance activities.
• Strong collaboration with clinical providers and coding teams.
• Ability to develop and deliver staff education and training.

Responsibilities

• Ensures accuracy, completeness, and regulatory compliance of clinical documentation.
• Collaborates with healthcare providers to enhance documentation quality.
• Analyzes clinical records to identify discrepancies and implement improvements.
• Monitors adherence to documentation policies and educates clinical staff.
• Supports audits and quality assurance activities.
• Reports findings and recommends corrective actions to management.

Skills

Collaboration with clinicians

Auditing & QA

Staff education delivery

Education

Graduate of accredited nursing program

Job description

Overview

The RN, Clinical Doc Integrity Specialist, ensures the accuracy, completeness, and regulatory compliance of clinical documentation. Collaborates with healthcare providers to enhance documentation quality and analyzing clinical records to identify discrepancies. Implements improvement initiatives, monitors adherence to policies, and educates clinical staff on best practices. Supports audits and quality assurance activities, reporting findings and recommending corrective actions to management for continuous improvement.

Responsibilities

• Ensures accuracy, completeness, and regulatory compliance of clinical documentation.


• Collaborates with healthcare providers to enhance documentation quality.


• Analyzes clinical records to identify discrepancies and implement improvements.


• Monitors adherence to documentation policies and educates clinical staff.


• Supports audits and quality assurance activities.


• Reports findings and recommends corrective actions to management.

Qualifications

Required Education: Graduate of an accredited school of nursing.

Required Experience: 3+ years experience in clinical documentation improvement

• Knowledge of healthcare regulations and documentation standards


• Experience conducting audits and quality assurance activities


• Strong collaboration skills with clinical providers and coding teams


• Ability to develop and deliver staff education and training

Required license: Active State of Florida Nurse license