Clinical Documentation Integrity Specialist

Join the team that is revolutionizing health care – BayCare Health System

Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility, and clinical excellence.

Our team members focus on tomorrow by achieving personal and professional success today. That's why you'll thrive in our forward-thinking culture, where we combine the best technology with compassionate service. We blend high-tech with high touch in ways that are advancing superior health care throughout the communities we serve.

Title: Clinical Documentation Integrity Specialist

Facility: Remote

This position will be supporting BayCare Hospital Wesley Chapel

Responsibilities:

• Professional Registered Nurse with sound clinical knowledge and strong critical thinking skills.

• This position is accountable for the integrity and accuracy of advanced practice clinical documentation through concurrent interaction with providers and other members of the healthcare team.
• Ensures clinical documentation integrity through proficient delivery of the Clinical Documentation Integrity (CDI) program workflows, including obtaining appropriate provider diagnoses documentation into the medical record in order to achieve legitimate code assignment and accurate reporting of the patient's condition and care provided.
• Contributes to process improvement efforts by designing, developing, implementing and supporting the CDI programs reporting and analytics.
• Collaborates with the physician advisor to achieve CDI program goals and accurate documentation representation of medical necessity for appropriate patient status.
• Promotes the capture of clinical severity to support the level of service rendered to relevant patient populations.
• The CDI Specialist is required to have clinical expertise and extensive knowledge of complex disease processes with broad clinical experience in an inpatient setting.

• Performs other duties as assigned.

BayCare offers a competitive total reward package including:

• Benefits (Medical, Dental, Vision)
• Paid Time Off
• Tuition Assistance
• 401K Match and additional yearly contribution
• Annual performance appraisals and team award bonus
• Family resources and wellness opportunities
• Community perks and discounts

Certification & Licensure:

• Required – RN (Registered Nurse)
• Preferred – CCDS Certification (Clinical Documentation)
• Preferred – CCS Certification (Coding)
• Preferred – CPC Certification (Coding)

Education:

• Required – Associates in Nursing
• Preferred – Bachelor’s In Nursing
• Preferred – Bachelor’s in Business Administration
• Preferred – Bachelor’s Hospital Management

Experience:

• Required – 5 years clinical experience in an acute care setting
• Preferred – 2 years clinical documentation
• Previous experience in CDI is strongly preferred

Status: Full Time, Exempt: Yes

Shift Hours: 7:00AM - 3:30PM (Flexible)

Weekend Work: None

Equal Opportunity Employer Veterans/Disabled