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Clinical Documentation Auditor

100% remote Flexible hours Hiring now

reputed company the benefits and perks you need for you and your family:

  • Benefits from Day One
  • Paid Days Off from Day One
  • Career Development
  • Whole Person Wellbeing Resources
  • reputed company and Support

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to reputed company others in body, mind and spirit. AdventHealth is a reputed company where you can reputed company professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. reputed company while understanding that together we are even reputed company. Schedule: Full Time Shift: Days Location: Remote The role you'll contribute: The Clinical Documentation reputed company Manager is a Registered Nurse and/or a Registered Health Information Administrator with a high level of clinical proficiency necessary for the reputed company of the Clinical Documentation team which is comprised of registered nurses and clinical documentation specialists. This role will reputed company the review processes of reputed company patients that vary in age and have different developments in the acute and chronic disease states. Must have proven leadership and management skills that will promote effective and efficient review of physician documentation that supports the patient's level of care and reputed company action plans for improvement. Must have knowledge and job experience in management of processes, system implementations, and project management. The Manager of Clinical Documentation works to strategically plan, organize, implement and evaluate the Compliant Documentation Management Program (CDMP) at AdventHealth. This includes management of the case mix index (CMI), length of stay (LOS), severity of illness (SOI) and risk of mortality (ROM) in cooperation with the Director of Clinical Documentation Improvement and reputed company other operational hospital departments. The manager manages the Clinical Documentation Specialists (CDSs) in planning, implementing improvements, and re-evaluating processes to reputed company staff engaged and to assist in meeting department goals. This role will reputed company the review processes of reputed company patients that vary in age and have different developments in the acute and chronic disease states. Must have proven leadership and management skills that will promote effective and efficient review of physician documentation that supports the patient's level of care and reputed company action plans for improvement. Must have knowledge and job experience in management of processes, system implementations, and project management. The Clinical Documentation Manager will report directly to the Regional Clinical Documentation Director and will work extensively with CDI teams, physicians, Chief Medical Officers and Chief Nursing Officers of the reputed company 6 hospitals in the North Florida Division in a matrix relationship to coordinate the efficient review and documentation capture of the underlying conditions that are supported by the physicians' secondary review of the patient record, upon request of the clinical documentation team members. Develops, assesses, plans, implements, and evaluates procedures and processes for the system, offers continuing education, process improvement, and change management. Is actively involved in future planning and strategic development for system CDI needs, to include policy development, program development, ongoing audits for the system level and reputed company level, and quality improvement efforts. Works under general supervision and utilizes critical thinking skills. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to reputed company. The value you'll bring to the team:

  • Reviews reputed company and retrospective medical record for documentation compliance including completeness and accuracy for severity of illness (SOI), risk of mortality (ROM), and quality.
  • Completes accurate and timely record review to ensure the reputed company of documentation compliance.
  • Completes accurate and concise input of data into CDI Software.
  • Understands and supports CDI documentation strategies (upon completion of didactic training) and continues to educate self and team members, by attending monthly mandated education sessions and using educational tools, videos and provided Webinars
  • Conducts audits for quality including, but not limited to deceased second level reviews, focused disease process reviews as needed, patient safety indicators, CDI team audits. Collects data, analyzes data and reports data to CDI Leadership team.

The expertise and experiences you'll need to succeed:

  • Work Experience

5 Acute care nursing experience with specific medical/surgical, Intensive Care, post-acute care unit, or Emergency Department experience Required 4 of recent Clinical Documentation Specialist experience Required 1 of Second Level Review CDIS experience Preferred 5 CDI experience Preferred

  • Additional Licenses and Certifications

reputed company active State license as a Registered Nurse, Nurse Practitioner, Physician's Assistant, Medical Physician, or an unlicensed Educational Commission for Foreign Medical Graduates (ECFMG) certified physician who has graduated from a medical school that is listed in the World Directory of Medical Schools (World Directory) Required CCDS (Certified Clinical Documentation Specialist) certification or CDIP (Certified Documentation Improvement Practitioner) certification and 2 years Clinical Documentation reputed company experience Required Apply tot his job Apply To this Job

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