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Quality Documentation (CDI) Specialist

Company: Lee Health
Location: Fort Myers
Posted on: October 19, 2020

Job Description:

Quality Documentation (CDI) SpecialistLocation:

12901 McGregor Blvd, Fort Myers, FL

Department: CDI - Clinical Documentation

Categories: HIM / CDI, Nursing

Type: Full-Time

Shift: 8:00 AM-4:30 PM

Schedule: Days

Description:

Are you looking to use your clinical nursing background to help Lee Health achieve one of their strategic priorities, Strong Financial Results? The Quality Documentation team is a vital part of the health system, helping to generate revenue for the health system.

Using a multidisciplinary team approach the Quality Documentation (CDI) Specialist responsibilities may include but are not limited to:


  • Facilitate and obtain appropriate clinical documentation for any clinical conditions or procedures to support the appropriate severity of illness (SOI), expected risk of mortality (ROM), and complexity of are of the patient.
  • Using clinical background and experience with in depth knowledge of pathophysiology and with training, exhibit detailed knowledge of clinical documentation requirements, DRG assignment, as well a firm understanding of coding guidelines.
  • Educate 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.
  • Facilitate 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 patient's electronic record.
  • Coach and educate 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 Inpatient/Acute Care Clinical Nursing Experience
    • Bachelor's Nursing (BSN)


      Additional Experience Preferences:




      • Critical Care Nursing Experience


        Have Questions? Chat with the Recruiter:

        Ryan Smith

        ryan.smith@leehealth.org

        Join our Live Chat Sessions:

        Tuesday and Thursday, 12:30pm - 1:30pm EST. Click on the below link to register

        https://app.brazenconnect.com/a/leehealth/s/a00oa/next/login

        Monday and Friday 12:30pm - 1:30pm EST. Click on the below link to register:

        https://app.brazenconnect.com/a/leehealth/s/agvq4/next/loginRequirements:Educational Requirements Degree/Diploma Obtained Program of Study Required/

        Preferred and/or Bachelor's Required Additional RequirementsGraduate of an accredited school of nursing. BSN or BS in a related healthcare field.Experience Requirements Minimum Years Required Area of Experience Required/

        Preferred and/or 5 Years Clinical Nursing Required State of Florida Licensure Requirements Licenses Required/

        Preferred and/or Registered Nurse License Required Certifications/Registration Requirements Certificates/Registrations Required/

        Preferred and/or CCDS (Certified Clinical Documentation Specialist) Preferred Additional RequirementsCertification as a Documentation Improvement Specialist required within 2 years is required

Keywords: Lee Health, Fort Myers , Quality Documentation (CDI) Specialist, Other , Fort Myers, Florida

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