Second Level Reviewer I

AdventHealth; Maitland (FL); Remote; USD 75,000 - 100,000; Full time

Job summary

AdventHealth is seeking a Second Level Reviewer I to facilitate quality physician documentation for clinical conditions. This full-time remote role requires acute care nursing experience and certifications, focusing on ensuring accurate documentation and compliance within the healthcare system.

Benefits

Benefits from Day One

Paid Days Off from Day One

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Qualifications

• Five years of acute care nursing experience with specific medical/surgical, Intensive Care, post-acute care, or Emergency Department.
• Active State license as a Registered Nurse or similar.
• CCDS or CDIP certification required.

Responsibilities

• Reviews concurrent medical records for documentation compliance.
• Educates care team on documentation guidelines.
• Maintains relationships with all team members.

Skills

Documentation Compliance

Patient Education

Data Input Accuracy

Education

BSN

CCDS certification

CDIP certification

Job description

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day One
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person and serves to uplift others in body, mind, and spirit. AdventHealth is a place where you can thrive professionally and grow spiritually by Extending the Healing Ministry of Christ. You will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time

Shift: Days, Monday-Friday

Location: Remote

The community you’ll be caring for: AdventHealth Orlando

• Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando

• Serves as the major tertiary facility for much of the Southeast, the Caribbean, and South America

• AdventHealth Orlando houses one of the largest Emergency Departments and cardiac catheterization labs in the country

• We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year

The role you’ll contribute:

Under general supervision of the Director of Clinical Documentation Integrity and, in some situations, the supervision of the Clinical Documentation Integrity Manager, and in collaboration with physicians, nursing, and HIM coders, the Second Level Reviewer I strategically facilitates and obtains appropriate and quality physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. The Second Level Reviewer I educates members of the patient care team regarding documentation guidelines, including physicians, allied health practitioners, nursing, and care management. The Second Level Reviewer I adheres to departmental and organizational goals, objectives, standards of performance, policies, and procedures, continually ensuring quality documentation and regulatory compliance. Actively participates in outstanding customer service and maintains respectful relationships with all.

The value you’ll bring to the team:

• Reviews concurrent medical records for documentation compliance, including completeness and accuracy for severity of illness (SOI), risk of mortality (ROM), and quality.
• Completes accurate and timely record reviews to ensure the integrity of documentation compliance.
• Inputs data accurately and concisely into CDI Software, resulting in accurate metrics obtained through the reconciliation process. Supports CDI documentation strategies (upon completion of didactic training) and continues to educate self and team members via monthly mandated education sessions, educational tools, videos, and webinars.

The expertise and experiences you’ll need to succeed:

• Five years of acute care nursing experience with specific medical/surgical, Intensive Care, post-acute care, or Emergency Department experience.
• BSN and 3 years of Clinical Documentation Specialist experience OR
• 4 years of recent Clinical Documentation Specialist experience OR
• Less than 2 years of Clinical Documentation Integrity experience with 10 years of acute care nursing experience.
• Current active State license as a Registered Nurse, Nurse Practitioner, Physician’s Assistant, or an unlicensed physician who graduated from a medical school listed in the World Directory of Medical Schools and meets ECFMG requirements.
• CCDS (Certified Clinical Documentation Specialist) certification or CDIP (Certified Documentation Improvement Practitioner) certification and 2 years of Clinical Documentation Integrity experience.