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Quality Documentation - CDI Specialist II

Company: Lee Health
Location: Fort Myers
Posted on: February 16, 2020

Job Description:

Job DescriptionThe role of the Quality Documentation / Clinical Documentation Improvement Specialist (CDIS) II, while incorporating the CDIS level I role, is expected to demonstrate a higher level of comprehension of the concurrent review process through knowledge and experience. The CDIS II is able to consistently recognize clinical indicators and use knowledge pertaining to nursing experience and deep knowledge of pathophysiology to obtain physician documentation that reflects accuracy in care and diagnoses in the patient's record. The CDIS II is able to consistently identify opportunities to query for assignment of DRG, major co- morbidities (mcc) and simple co-morbidities (cc) when clinical evidence is present. The CDIS II query's are consistent and obtain a high level of quality and complexity with clinical indicators when warranted. The query's are diverse and pertain to all patient populations within the health system.Educational RequirementsDegree/Diploma Obtained Program of Study Required/ Preferred and/orBachelor'sRequiredBachelor'sNursingPreferredExperience RequirementsMinimum Years Required Area of Experience Required/ Preferred and/or 2 YearsCDIRequiredAdditional RequirementsKnowledge of coding guidelines and sequencing of diagnoses. Must be knowledgeable of business medicine and transitional healthcare changes. State of Florida Licensure RequirementsLicenses Required/ Preferred and/orRegistered Nurse LicenseRequiredCertifications/Registration RequirementsCertificates/Registrations Required/ Preferred and/orCCDS (Certified Clinical Documentation Specialist)RequiredAdditional RequirementsCurrent License as RN in the state of Florida. CCDS within 6 months of promotion, mandatory

Keywords: Lee Health, Fort Myers , Quality Documentation - CDI Specialist II, Other , Fort Myers, Florida

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