All the benefits and perks you need for you and your family:

• Benefits from Day One for FT/PT positions
• Paid Time Off from Day One for FT/PT positions
  
  

Initiates/formulates CDI severity worksheets and clinically credible clarifications for inpatients, sending/presenting opportunities for improved documentation compliance to physicians, nurse practitioners and other clinical team members.

• Transcribes documentation clarifications as appropriate for SOI, ROM, PSI, HCCs and HACs to ensure documentation compliance is accomplished.
• Strategically educates members of the patient-care team regarding documentation regulations and guidelines, including physicians, allied health practitioners, nursing, and collaboration with the healthcare team. This includes quarterly and annual compliance updates from Medicare.
• Effectively and appropriately communicates with physicians and other healthcare providers as necessary to ensure appropriate, accurate and complete clinical documentation. Communicates with HIM staff and collaborates with them to resolves discrepancies with DRG assignments and other coding issues.
• Completes well-timed follow-up case reviews on all concurrent cases with priority given for resolution of those with clinical documentation clarifications.
• Participates in department meetings, including feedback on outstanding issues, presentations for educational opportunities and any other needs identified by the CDI leaders.
• Assumes personal responsibility for professional growth, development and continuing education to maintain a high level of proficiency.
• Demonstrates competence in chart audits
• Correctly identifies physician clarification opportunities
• Proficient in formulating valid clarifications that are easily understood by physicians and other members of the medical team.
• Accurately reconciles all cases in CDI database.
• Maintains a 95% physician response rate to all valid clarifications.
• Performs other duties as assigned.
  
  

Qualifications

The expertise and experiences you’ll need to succeed:

Knowledge And Skills Required

• Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrates excellent physician relations.
• Able to organize and present information clearly and concisely; excellent computer and keyboarding skills; ability to use multiple software programs simultaneously; high degree of prioritization skills.
• Ability to learn/develop and fine-tune the skills necessary to perform optimally as a Clinical Documentation Specialist.
• Dependable, self-motivated and pleasant.
• Utilize and demonstrate excellent critical-thinking, problem-solving and deductive-reasoning skills.
• Knowledge of pathophysiology, disease processes and treatments.
• Strong ability to organize/triage work and manage multiple priorities at once.
  
  

Knowledge And Skills Preferred

• Knowledge of clinical documentation requirements that identify clinical conditions or procedures.
• Coding background.
• Knowledge of quality guidelines.
  
  

Education And Experience Required

• Minimum of five years acute care nursing experience with specific medical/surgical, Intensive Care, post-acute care unit, or Emergency Department experience.
• Minimum of one year of CDI experience
  
  

Education And Experience Preferred

• BSN or higher
• More than one year of Clinical Documentation Specialist experience
  
  

Licensure, Certification Or Registration Required

• Current active State of Illinois license as a Registered Nurse, Nurse Practitioner, Physician Assistant
  
  

Licensure, Certification Or Registration Preferred

• CCDS (Certified Clinical Documentation Specialist) certification
• CDIP (Certified Documentation Improvement Practitioner) certification
  
  

Required Competencies

• AdventHealth online learning (ALN)
• Achieve a 70% or greater on the AdventHealth Corporate Approved Pre-Hire Assessment
• Achieve a 70% or greater on the Annual AdventHealth Corporate Approved Post-Hire Assessment
  
  

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical