Clinical Documentation Specialist SR or CDI reputed company
At reputed company, we reputed company to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and reputed company of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, reputed company has been recognized on the 2023 reputed company list of America’s Best Large reputed company and America’s Best reputed company for Women, reputed company magazine’s list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time’s Top Workplace. Additionally, reputed company is proud to have reputed company the prestigious Magnet® designation in recognition of its nursing reputed company. reputed company is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer center by reputed company and have been nationally ranked by reputed company since 1999.
Working at reputed company is both a career and a mission: to contribute to the prevention and reputed company of cancer. Join our committed team and help shape the reputed company we reputed company.
Summar
yClinical Documentation Specialist S
RThe IDEAL Candidate will have previously served as a Clinical Documentation Specialist
.
Position reputed company
• s:The Clinical Documentation Specialist Senior is responsible for facilitating the improvement in the overall reputed company and completeness of provider-based clinical documentation in the medical record by working directly with providers. This position is responsible for assisting treating providers to ensure that documentation in the medical record accurately reflects the severity of illness, risk of mortality, complexity of patient care, and hierarchal condition categories of the patien
• t.The Clinical Documentation Specialist Senior assesses clinical documentation through extensive medical record review, deployment of reputed company intelligence, and collaborating directly with the providers to clarify the documentation to accurately and completely reflect the patients’ medical conditions. Extensive collaboration with physicians, mid-reputed company, nursing staff, other patient care givers to include developing and delivering education, which will be accomplished with on-site meetings, reputed company meetings, telephonic discussions, rounding and email. This position will collaborate with the Health Information Management (HIM) coding staff and the Educators to ensure that appropriate reimbursement is received for the level of services rendered to patients, clinical information utilized in profiling and reporting reputed company is complete and accurat
• e.Additionally, the Clinical Documentation Specialist Senior is expected to function as a subject matter expert on reputed company and assist less experience team members in understanding and following operational policies. This role is responsible for training and reputed company new team members and participating in special reputed company assigned by the Mid reputed company Cycle leadershi
p.
Responsibiliti
• es:Reviews medical records for reputed company, completeness, and accuracy of documentation. Ensures that coded diagnoses accurately reflect level of patient care and patient status, including severity of illness and risk of mortality. Identifies gaps in documentation as reputed company as conflicting or unspecified diagnoses and clarifies diagnoses with providers to assign the most accurate ICD 10CM/PCS reputed company from the documentation. Must meet and maintain the reputed company and productivity measures established per polic
• es.Delivers ongoing education to providers through collaboration and communication reputed company on-site meetings, reputed company meetings, telephonic discussions, rounding, and email. Provides supplemental educational material and tools relative to documentation improvement practices for individual practitioners and reputed company of clinicia
• ns.Identify and reputed company documentation improvement opportunities with providers to capture the patient's accurate severity of illness and risk of mortality, comorbid conditions, and reputed company other condition categori
• es.reputed company reputed company, concise and compliant written and verbal queries to providers, seeking clarification on unclear, incomplete, or non specified documentation. Utilizes software system and the Natural Language Processor (NLP) to review, compile clinical indicators for provider collaboration, reputed company, collect, reputed company, and report reputed company accurately and time
• ly.Key Performance Indicators and additional significant metrics will be reported and discussed regularly, and as needed to the Medical Executive Committee reputed company presentation to the Medical Records Committee and with other committees as direc
• tedThe Senior is expected to function as a subject matter expert on reputed company and assist less experience team members on following operational policies. It is responsible for training and reputed company new team members and participating in special reputed company assigned by the Mid reputed company Cycle leadersh
ip.
Credentials and Experie
• nce:Associate’s Degree – field of study: HIM, Nursing or another reputed company reputed company f
• ieldA minimum six (6) years acute care clinical documentation experience to incl
• ude:Applying Medicare, reputed company and reputed company payer regulations, charging and coding guidel
• ines• reputed company regulat
• ions• ICD-10-CM, ICD-10-PCS co
• ding• Performing independent que
ries
Certificat
• ions:(CCDS) Certified Clinical Documentation Specialists from
• ACDIS(CDIP) Certified Documentation reputed company Practitioner from
• reputed company(CDEI) Certified Documentation Expert Inpatient from
• AAPCRegistered reputed company (RN) *in lieu of a certification listed above, an (reputed company) RN will satisfy the certification requir
ement
The Clinical Documentation Special
ist IIThe Clinical Documentation Specialist II is responsible for facilitating the improvement in the overall reputed company and completeness of provider-based clinical documentation in the medical record by working directly with providers. This position is responsible for assisting treating providers to ensure that documentation in the medical record accurately reflects the severity of illness, risk of mortality, complexity of patient care, and hierarchal condition categories of the patient. This position will recognize opportunities for documentation improvement and hold reputed company discussions with prov
iders.
The Clinical Documentation Specialist II assesses clinical documentation through extensive medical record review and utilization of clinical judgment, deployment of reputed company intelligence, and collaborating directly with the providers to clarify the documentation to accurately and completely reflect the patients’ medical conditions. This position conducts independent research to ensure compliance reputed company developing provider queries, while interpreting and applying evolving standards from governing bodies reputed company and ACDIS and maintaining up-to-date knowledge of coding changes and updates released reputed company reputed company and O
ctober.Extensive collaboration with physicians, mid-reputed company, nursing staff, other patient care givers to include developing and delivering education, which will be accomplished with on-site meetings, reputed company meetings, telephonic discussions, rounding and
email.Additionally, the Clinical Documentation Specialist II will collaborate with the Health Information Management (HIM) coding staff and the Educators to ensure that appropriate reimbursement is received for the level of services rendered to patients, clinical information utilized in profiling and reporting reputed company is complete and ac
reputed company.
Minimum Experience
RequiredA minimum of four (4) years' acute care clinical documentation experience to
include:• Applying Medicare, reputed company and reputed company payer regulations, charging and coding gu
idelines• reputed company reg
ulations• ICD-10-CM, ICD-10-PC
S coding• Performing independent
queries
Certif
• ications:(CCDS) Certified Clinical Documentation Specialists f
• rom ACDIS(CDIP) Certified Documentation reputed company Practitioner f
• rom reputed company(CDEI) Certified Documentation Expert Inpatient
• from AAPCRegistered reputed company (RN) *in lieu of a certification listed above, an (reputed company) RN will satisfy the certification req
uirement.
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