CDI Specialist III Registered Nurse
Found in: Jooble US O C2 - 2 weeks ago
Position Summary Provides concurrent review of the clinical documentation in the medical record; review the medical record with a clinical lens to identify any missing or understated diagnoses or procedures. This is a hybrid role Qualifications Education/Training Graduate from an approved school of nursing. Licensure/Certification Maintains current State of Florida RN license or valid eNLC multistate RN license. Must maintain current one of the following: Certified Documentation Specialist (CCDS) by the Association of Clinical Documentation Improvement Specialists Clinical Documentation Improvement Professional (CDIP) by The American Health Information Management Association Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) Certified Coding Specialist (CCS) Experience * Three (3) years of acute care hospital experience required. * Two (2) years of acute care CDI experience required. * Extensive clinical knowledge and understanding of pathology/physiology; best demonstrated by clinical experience in hospital setting. * Thorough knowledge of ICD-9-CM, ICD-10-CM/PCS, APR DRG and MS DRG required. * Excellent written and verbal communication skills; ability to write concisely and effectively when communicating with providers Responsibilities Conducts initial and follow-up concurrent reviews on targeted admissions for opportunities to clarify documentation in the medical record for accurate reflection of the acuity of the patient and justifying the level of care. * Coordinates with coding/HIM/UR and other departments to achieve a record that reflects the acuity of the patient and level of care provided. * Review medical record concurrently for documentation not yet in the record but supported by clinical indicators. Performs a thorough chart review to identify co-morbidities/complications, and documents these appropriately within the concurrent CDS worksheet. Determines the appropriate principle diagnosis of the patient. * Demonstrates an understanding of the importance of, and makes an effort to capture, all appropriate secondary diagnoses for quality rating purposes. * Documents findings in workflow tools, noting all key information used in the tracking process. * Uses relationship building and strong communication skills to develop a rapport with providers to clarify information in the medical record. * Uses appropriate querying tools (templates) to capture needed documentation. * Queries the medical staff when necessary by written and/or verbal communication to obtain accurate and complete physician documentation that supports the patient condition(s) and treatment plan Provides education to physicians on the importance of complete documentation and key documentation concepts during regular physician meetings or on individually with physicians. * Reviews the progress of the CDI program by interpreting performance, process, and quality ratings reports. Able to identify areas of focus through report analysis. * Acts as liaison between the Coding Department and the Clinical Documentation Specialist. * Regularly interacts with/educates physicians to enhance understanding of the CDI program and to ensure the medical record can be coded accurately in order to reflect patient severity of illness and risk of mortality. * Able to recognize and facilitate performance improvement activities when necessary to achieve benchmark departmental and system metrics. * Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. * Maintains compliance with all Orlando Health policies and procedures. Education/Training Graduate from an approved school of nursing. Licensure/Certification Maintains current State of Florida RN license or valid eNLC multistate RN license. Must maintain current one of the following: Certified Documentation Specialist (CCDS) by the Association of Clinical Documentation Improvement Specialists Clinical Documentation Improvement Professional (CDIP) by The American Health Information Management Association Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) Certified Coding Specialist (CCS) Experience * Three (3) years of acute care hospital experience required. * Two (2) years of acute care CDI experience required. * Extensive clinical knowledge and understanding of pathology/physiology; best demonstrated by clinical experience in hospital setting. * Thorough knowledge of ICD-9-CM, ICD-10-CM/PCS, APR DRG and MS DRG required. * Excellent written and verbal communication skills; ability to write concisely and effectively when communicating with providers Conducts initial and follow-up concurrent reviews on targeted admissions for opportunities to clarify documentation in the medical record for accurate reflection of the acuity of the patient and justifying the level of care. * Coordinates with coding/HIM/UR and other departments to achieve a record that reflects the acuity of the patient and level of care provided. * Review medical record concurrently for documentation not yet in the record but supported by clinical indicators. Performs a thorough chart review to identify co-morbidities/complications, and documents these appropriately within the concurrent CDS worksheet. Determines the appropriate principle diagnosis of the patient. * Demonstrates an understanding of the importance of, and makes an effort to capture, all appropriate secondary diagnoses for quality rating purposes. * Documents findings in workflow tools, noting all key information used in the tracking process. * Uses relationship building and strong communication skills to develop a rapport with providers to clarify information in the medical record. * Uses appropriate querying tools (templates) to capture needed documentation. * Queries the medical staff when necessary by written and/or verbal communication to obtain accurate and complete physician documentation that supports the patient condition(s) and treatment plan Provides education to physicians on the importance of complete documentation and key documentation concepts during regular physician meetings or on individually with physicians. * Reviews the progress of the CDI program by interpreting performance, process, and quality ratings reports. Able to identify areas of focus through report analysis. * Acts as liaison between the Coding Department and the Clinical Documentation Specialist. * Regularly interacts with/educates physicians to enhance understanding of the CDI program and to ensure the medical record can be coded accurately in order to reflect patient severity of illness and risk of mortality. * Able to recognize and facilitate performance improvement activities when necessary to achieve benchmark departmental and system metrics. * Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. * Maintains compliance with all Orlando Health policies and procedures.
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CDI Specialist III Registered Nurse
2 weeks ago
Orlando, United States Orlando Health Full timeCDI Specialist III Registered Nurse - Clinical Documentation - Orlando HealthPosition Summary Provides concurrent review of the clinical documentation in the medical record; review the medical record with a clinical lens to identify any missing or understated diagnoses or procedures. This is a hybrid role Responsibilities Conducts initial and follow-up...
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CDI Specialist III Registered Nurse
2 weeks ago
Orlando, United States Orlando Health Full timeCDI Specialist III Registered Nurse - Clinical Documentation - Orlando HealthPosition Summary Provides concurrent review of the clinical documentation in the medical record; review the medical record with a clinical lens to identify any missing or understated diagnoses or procedures. This is a hybrid role Responsibilities Conducts initial and follow-up...
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CDI Specialist III Registered Nurse
2 weeks ago
Orlando, FL, United States Orlando Health Full timeCDI Specialist III Registered Nurse - Clinical Documentation - Orlando HealthPosition Summary Provides concurrent review of the clinical documentation in the medical record; review the medical record with a clinical lens to identify any missing or understated diagnoses or procedures. This is a hybrid role Responsibilities Conducts initial and follow-up...
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CDI SPECIALIST III REGISTERED NURSE
Found in: Careerbuilder One Red US C2 - 1 day ago
Orlando, FL 32801, USA, United States Orlando Health Full timePosition SummaryProvides concurrent review of the clinical documentation in the medical record; review the medical record with a clinical lens to identify any missing or understated diagnoses or procedures.QualificationsEducation/TrainingGraduate from an approved school of nursing.Licensure/CertificationMaintains current State of Florida RN license or valid...
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CDI Specialist I Registered Nurse
Found in: Jooble US O C2 - 7 days ago
Orlando, FL, United States Orlando Health Full timeCDI Specialist I Registered Nurse - Clinical Documentation - Arnold Palmer Hospital Position Summary Provides concurrent review of the clinical documentation in the medical record; review the medical record with a clinical lens to identify any missing or understated diagnoses or procedures. This is a hybrid position, hospital will be Arnold Palmer...
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CDI Specialist I Registered Nurse
1 week ago
Orlando, United States Orlando Health Full timeCDI Specialist I Registered Nurse - Clinical Documentation - Arnold Palmer HospitalPosition Summary Provides concurrent review of the clinical documentation in the medical record; review the medical record with a clinical lens to identify any missing or understated diagnoses or procedures. This is a hybrid position, hospital will be Arnold Palmer Childrens...
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CDI Specialist I Registered Nurse
7 days ago
Orlando, FL, United States Orlando Health Full timeCDI Specialist I Registered Nurse - Clinical Documentation - Arnold Palmer HospitalPosition Summary Provides concurrent review of the clinical documentation in the medical record; review the medical record with a clinical lens to identify any missing or understated diagnoses or procedures. This is a hybrid position, hospital will be Arnold Palmer Childrens...
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CDI Specialist I Registered Nurse
Found in: Resume Library US A2 - 7 days ago
Orlando, Florida, United States Orlando Health Full timePosition Summary: Provides concurrent review of the clinical documentation in the medical record; review the medical record with a clinical lens to identify any missing or understated diagnoses or procedures. This is a hybrid role, location ORMC Hospital Responsibilities: Conducts initial and follow-up concurrent reviews on targeted admissions for...
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CDI Specialist I Registered Nurse
Found in: Resume Library US A2 - 7 days ago
Orlando, Florida, United States Orlando Health Full timePosition Summary: Provides concurrent review of the clinical documentation in the medical record; review the medical record with a clinical lens to identify any missing or understated diagnoses or procedures. This is a hybrid role, location ORMC Hospital Qualifications: Education/Training Graduate from an approved school of...
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CDI Specialist I Registered Nurse
Found in: Resume Library US A2 - 2 weeks ago
Orlando, Florida, United States Orlando Health Full timePosition Summary: Provides concurrent review of the clinical documentation in the medical record; review the medical record with a clinical lens to identify any missing or understated diagnoses or procedures. This is a hybrid position, hospital will be Arnold Palmer Childrens Hospital Qualifications: Education/Training Graduate from an approved...
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CDI Specialist I Registered Nurse
Found in: Resume Library US A2 - 2 weeks ago
Orlando, Florida, United States Orlando Health Full timePosition Summary: Provides concurrent review of the clinical documentation in the medical record; review the medical record with a clinical lens to identify any missing or understated diagnoses or procedures. This is a hybrid position, hospital will be Arnold Palmer Childrens Hospital Responsibilities: Conducts initial and follow-up concurrent...
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REGISTERED NURSE SPECIALIST
Found in: Careerbuilder One Red US C2 - 1 day ago
Gainesville, FL 32635, USA, United States State of Florida Full timeThis is a Registered Nurse Specialist position which is responsible for the supervision and coordination of all nursing services to an assigned group of people in a facility for the developmentally disabled. This position is responsible for the coord Registered Nurse, Specialist, Registered, Nurse, Staff, Nursing, Healthcare
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REGISTERED NURSE SPECIALIST
Found in: Careerbuilder One Red US C2 - 1 day ago
Fort Myers, FL, USA, United States State of Florida Full timeRequisition No: 827770 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST - 60057238 Pay Plan: Career Service Position Number: 60057238 Salary: $53,566.50 Posting Closing Date: 05/03/2024 Total Compensation Estimator Tool Regist Registered Nurse, Specialist, Registered, Nurse, Medical, Benefits, Healthcare
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Fire Report Specialist I/II/III
Found in: beBee jobs US - 2 weeks ago
Orlando, Florida, United States City of Orlando Full timeDescription Who We AreOrlando, The City BeautifulFor most of Orlando's history we've been the place everyone wants to visit. Today, we're also the place where everyone wants to live and do business. List after list has Orlando as one of the fastest growing cities in America. We're transitioning from our role as the young upstart to a more mature, global...
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68048649 - REGISTERED NURSE SPECIALIST
Found in: Careerbuilder One Red US C2 - 1 day ago
Delray Beach, FL 33483, USA, United States State of Florida Full timeRequisition No: 826674 Agency: Agency for Health Care Administration Working Title: 68048649 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service Position Number: 68048649 Salary: $2,010.28 - $2,479.82 biweekly Posting Closing Date: 04/17/2024 Tota Registered Nurse, Specialist, Nurse, Registered, Operations, Health, Healthcare
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Environmental Specialist I/II/III
Found in: beBee jobs US - 7 days ago
Orlando, Florida, United States City of Orlando Full timeDescription Minimum Starting Salary:Environmental Specialist I, $ $27.99 Hourly , depending on qualifications Environmental Specialist II, $ $29.56 Hourly , depending on qualifications Environmental Specialist III, $ $31.21 Hourly , depending on qualifications Who We AreOrlando, The City BeautifulFor most of Orlando's history we've been the place everyone...
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68061416 - REGISTERED NURSE SPECIALIST SURVEYOR
Found in: Careerbuilder One Red US C2 - 1 day ago
Miami, FL 33222, USA, United States State of Florida Full timeRequisition No: 820717 Agency: Agency for Health Care Administration Working Title: 68061416 - REGISTERED NURSE SPECIALIST SURVEYOR Pay Plan: Career Service Position Number: 68061416 Salary: $2,010.28 biweekly Posting Closing Date: 03/20/2024 Total C Registered Nurse, Surveyor, Specialist, Registered, Nurse, Healthcare
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RN Clinical Documentation Integrity Lead
Found in: Careerbuilder One Red US C2 - 2 weeks ago
St Petersburg, FL, United States Networks Connect Professional Staffing Full timeClinical Documentation Integrity Lead (CDI Lead) Job Description:Networks Connect is conducting a search for a local prominent healthcare system for someone to join their dynamic healthcare team as a Clinical Documentation Integrity Lead! Leverage your expertise in clinical documentation, compliance, and healthcare coding to spearhead our CDI program. This...
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RN - Registered Nurse / Graduate Nurse -Medical Care
Found in: Jooble US O C2 - 2 days ago
Orlando, FL, United States Orlando Health Full timeRegistered Nurse - Med Surg/Inpatient Acute Care Rehab Position Summary Med Surg/Inpatient Acute Care Rehab Nursing Who are we: Commission on Accreditation of Rehabilitation Facilities (CARF International Accreditation)- more than 25 years Specialty Rehabilitation Registered nurses - currently 68% CRRN certified Patient population - strokes, traumatic...
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Registered Nurse
Found in: Jooble US O C2 - 23 hours ago
Orlando, FL, United States Orlando Health Full timeRegistered Nurse - Rehab Position Summary Med Surg/Inpatient Acute Care Rehab Nursing Who are we: • Commission on Accreditation of Rehabilitation Facilities (CARF International Accreditation)- more than 25 years • Specialty Rehabilitation Registered nurses - currently 68% CRRN certified • Patient population - strokes, traumatic brain injury,...