Senior Clinical Documentation Specialist II

AdventHealth; Calhoun (GA); On-site; USD 63,000 - 118,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

PTO from Day One

403(b) Retirement Plan

Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Pet Benefits

Job summary

AdventHealth in Calhoun, GA seeks a Clinical Documentation Specialist II Exempt to ensure accurate documentation and regulatory compliance. You will input data into CDI software, and drive opportunities for documentation improvement across inpatient teams.

Collaborating with physicians, HIM, and nursing staff, you will educate on guidelines, review records for accuracy, and resolve DRG and coding issues while maintaining a high physician response rate and contributing to quality outcomes.

Qualifications

• Associates degree required.
• Registered Nurse license or equivalent required.
• 4+ years acute care nursing experience.
• 2+ years clinical documentation experience.

Responsibilities

• Input data into CDI software accurately.
• Identify opportunities for documentation improvement.
• Educate care team on documentation guidelines and regulations.
• Collaborate with HIM to resolve DRG discrepancies.
• Complete timely record reviews and follow-ups.

Education

Associates

RN licensure or equivalent

Field of Study: Nursing

Interpersonal skills

Verbal communication

Written communication

Critical thinking

Attention to detail

Tools

CDI Software

Job description

AdventHealth in Calhoun, GA seeks a Clinical Documentation Specialist II Exempt to ensure accurate documentation and regulatory compliance. You will input data into CDI software, and drive opportunities for documentation improvement across inpatient teams.

Collaborating with physicians, HIM, and nursing staff, you will educate on guidelines, review records for accuracy, and resolve DRG and coding issues while maintaining a high physician response rate and contributing to quality outcomes.