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Quality Documentation (CDI) Specialist

Company: Lee Health
Location: Fort Myers
Posted on: June 11, 2019

Job Description:

Quality Documentation (CDI) Specialist
Location:



Fort Myers, FL



Department: CDI - Clinical Documentation

Categories: HIM / CDI

Type: Full-Time

Shift: 8:00 AM-4:30 PM

Schedule: Days


Description:
Come join Lee Health as a Quality Documentation Specialist (commonly known as CDI Specialist) and our mission of being a trusted partner, empowering healthier lives through care and compassion.

Using a multidisciplinary team approach the Quality 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 Quality Documentation Specialist 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.


Have Questions? Chat with the Recruiter:
Ryan Smith
ryan.smith@leehealth.org

Join our Live Chat Sessions:
Tuesday - 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/login




Requirements:
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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