Senior Clinical Documentation Specialist

Moffitt Cancer Center; Florida; On-site; USD 81,000 - 123,000; Full time

Job summary

Moffitt Cancer Center is seeking a Clinical Documentation Specialist Senior to improve provider documentation quality and accuracy in the medical record. You will work with physicians and clinical staff to ensure documentation reflects illness severity, mortality risk, and care complexity, acting as a subject matter expert and trainer.

The role emphasizes collaboration, policy adherence, and leveraging NLP tools to support compliant documentation and coding.

Qualifications

• Associate degree or better in nursing, HIM or a related field.
• Minimum six years acute care clinical documentation experience.
• Familiarity with Medicare/Medicaid and commercial payer regulations.
• Knowledge of ICD-10-CM/PCS coding.
• Ability to perform independent queries.

Responsibilities

• Review records for quality and accuracy of documentation to reflect severity and codes.
• Provide ongoing education to providers via various channels.
• Identify documentation improvement opportunities and discuss with providers.
• Develop clear queries and use NLP tools to assist coding and reporting.
• Report KPIs to Medical Executive Committee and related bodies.
• Train and onboard new staff and participate in special projects.

Skills

Clinical knowledge

Coding skills

Documentation improvement

MS Office

Cerner EHR

Optum 360 eCAC

Analytical thinking

Interpersonal skills

Writing skills

Education

Associate’s Degree in Nursing/HIM or related field

Tools

Cerner EHR

Optum 360 eCAC

Job description

Moffitt Cancer Center is seeking a Clinical Documentation Specialist Senior to improve provider documentation quality and accuracy in the medical record. You will work with physicians and clinical staff to ensure documentation reflects illness severity, mortality risk, and care complexity, acting as a subject matter expert and trainer.

The role emphasizes collaboration, policy adherence, and leveraging NLP tools to support compliant documentation and coding.