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Clinical Documentation Improvement (CDI) Specialist

Company: Lee Health
Location: Fort Myers
Posted on: September 15, 2018

Job Description:

Clinical Documentation Improvement (CDI) Specialist Location: Fort Myers, FL
Department: CDI-CLINICAL DOCUMENTATION
Categories: HIM / CDI, Nursing, Professional
Type: Full-Time
Shift: 8:00 AM-4:30 PM
Schedule: Days
Description: Are you looking for a new career in Clinical Documentation Improvement? Come join Lee Health where we are just minutes away from some of the nation's top-rated beaches! Our great work environment, team atmosphere and work-life balance makes this a great place to continue your CDI career and help Lee Health improve the quality of care for our patients.

Using a multidisciplinary team approach the Clinical Documentation Specialist facilitates and obtains appropriate clinical 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. A diverse clinical background and in depth knowledge of pathophysiology is a must. With training, exhibits a detailed knowledge of clinical documentation requirements, DRG assignment, as well a firm understanding of coding guidelines. The CDIS educates members of the patient care team regarding clinical documentation guidelines, including attending physicians, allied health practitioners, and nursing. Reviews medical records concurrently on a daily basis to identify opportunities to improve the quality and completeness of clinical documentation. Facilitates modifications to clinical documentation when appropriate, through extensive concurrent interaction with physicians, mid-level providers, HIM staff, allied health professionals and nursing staff to support accurate, complete and timely documentation of clinical information in the electronic patient record. Coaches and educates physicians, mid-level providers, HIM staff, allied health professionals and nurses on a daily basis to improve capture of clinical severity for the level of service rendered to patients.

Additional Experience Requirements:
- 5 years of Acute Care Nursing experience strongly preferred
- Critical Care Nursing experience strongly preferred

Have Questions? Chat with the Recruiter:
Ryan Smith

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Requirements:

Keywords: Lee Health, Fort Myers , Clinical Documentation Improvement (CDI) Specialist, Healthcare , Fort Myers, Florida

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