Clinical Documentation Integrity Quality Liaison REMOTE POSITION
Location: Daytona Beach, Florida
Internal Number: 22026208
All the benefits and perks you need for you and your family:
Benefits and Paid Days Off from Day One
Student Loan Repayment Program
Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)
$3K Sign-on Bonus*
$3K Relocation Bonus*
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 uplift others in body, mind and spirit. AdventHealth is a place where you can thrive 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. All while understanding that together we are even better.
The community you’ll be caring for: 301 MEMORIAL MEDICAL PKWY, Daytona Beach, 32117 (100% REMOTE POSITION)
The role you’ll contribute: Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the Clinical Documentation Integrity Manager, and in collaboration with physicians, nursing and HIM coders, the Clinical Documentation Quality Liaison strategically facilitates and obtains appropriate and quality physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. The Clinical Documentation Quality Liaison educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, care management and quality abstracters. The Clinical Documentation Quality Liaison provides timely review and response to Iodine Retrospect Cases. Tracking and trending patterns for areas of opportunity CDI education. The Clinical Documentation Quality Liaison adheres to strict departmental and organizational goals, objectives, standards of performance and policies and procedures, continually ensuring quality documentation and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
The value you’ll bring to the team
Demonstrates, thoughtful behavior, Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork
Reviews mortality reviews to ensure the ROI/SOM scores are appropriate and consistent in documentation of care delivered.
Completes accurate and timely record review to ensure the integrity of documentation compliance. Completes accurate and concise input of data into Iodine resulting in accurate metrics provided by the CDI program. Understands and supports CDI documentation strategies (upon completion of training) and continues to educate self and team members using educational tools, videos and provided WebEx’s.
Recognizes opportunities for documentation improvement using strong critical-thinking skills. Uses critical thinking and sound judgment in decision making keeping reimbursement considerations in balance with regulatory compliance. Initiates/formulates CDI severity worksheets and clinically credible clarifications for inpatients, sending/presenting opportunities for improved documentation compliance to physicians, nurse practitioners and other medical staff.
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 attending physicians, allied health practitioners, nursing, and care management. This includes quarterly 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 Task Force meetings, including feedback on outstanding issues, presentations for educational opportunities and any other needs identified by the CDI group.
Reviews and responds to clinical validation denials to ensure compliance with Clinical Documentation Integrity guidelines.
Tracks and trends denials to provide education and feedback to CDI teams on areas of concurrent documentation improvement.
Assumes personal responsibility for professional growth, development and continuing education to maintain a high level of proficiency.
Performs other duties as assigned.
The above statements reflect the general duties and responsibilities necessary to describe the principal functions of the job, as identified, and shall not be considered an exhaustive list of job responsibilities which may be inherent in the job. Responsibilities are subject to change.
The expertise and experiences you’ll need to succeed:
EDUCATION AND EXPERIENCE REQUIRED:
Nursing degree (RN, BS, BSN, or advanced degree) Current active State license as a Registered Nurse, Nurse Practitioner, Physician’s Assistant or unlicensed physician who has graduated from a medical school that is listed in the World Directory of Medical Schools (World Directory) as meeting eligibility requirements for its graduates to apply to the Educational Commission for Foreign Medical Graduates (ECFMG) for ECFMG Certification and examination at the time of graduation.
Five years of acute clinical experience
Experience in Clinical Documentation Improvement and Acute Care
Experience with Microsoft Office(Excel, PowerPoint, and Word)
3 years of Clinical Documentation Specialist experience
EDUCATION AND EXPERIENCE PREFERRED:
Master’s degree in Nursing or related health care related field
Experience educating in a healthcare or Clinical Documentation Improvement setting
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
Current valid State of Florida or multi state license as a Registered Nurse
CCDS (Certified Clinical Documentation Specialist) certification through ACDIS (Association of Clinical Documentation Improvement Specialist) or CDIP (Certified Documentation Improvement Practitioner) certification through AHIMA (American Health Information Management)
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 specific AdventHealth computer-based programs (such as Retrospect, Iodine, and EPIC)
Familiarity with Center for Medicare and Medicaid Services Programs
Ability to read, interpret, and strategize future projects, bringing future state to reality
Knowledge of clinical documentation requirements that identify clinical conditions or procedures.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.