Clinical Documentation Specialist Full Time Days $3,000 Sign On $3,000 Relocation Assistance at AdventHealth

Date Posted: 10/17/2020

Job Snapshot

  • Job Schedule
  • Location:
    Tavares, FL
  • Date Posted:
  • Job ID:
  • Job Family
    Case Management
  • Travel
    Yes, 25 % of the Time
  • Shift
    1 - Day

Job Description

Clinical Documentation Specialist
Location Address: 1000 Waterman Way Tavares, Florida 32778

Top Reasons to Work at AdventHealth Waterman

  • Career Growth and Advancement Potential
  • Join a Faith Based, Non-Profit Healthcare Organization
  • Community Based Hospital Focused on Patient Care
Work Hours/Shift:

Full Time

You Will Be Responsible For:

  • Performs accurate and timely review of electronic health record to initiate work sheets on DRG payers for inpatient admissions. 
  • Demonstrates the ability to analyze and identify areas of potential gaps representing opportunities for documentation improvement in order to reflect severity/complexity profile making an appropriate determination whether a physician clarification/query is required.
  • Possess the ability to formulate clinically credible documentation/ clarifications/queries; utilizing effective and appropriate communication options for physician follow up, which will occur in a timely manner.
  • Identifies the need and presence of “MCC” or “CC” for the DRG
  • Demonstrates efficiency in Guide (JATA) guidelines, software and accurate input of data into CDMP Trak.  As well as, the ability to review archived cases and generate reports as needed.


What You Will Need:
  • Requires excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication as well as strong interpersonal skills.
  • Knowledge of Pathophysiology and disease process
  • Working expertise in the use of Microsoft Word, Power-Point and Excel programs. 
  • Proficient typing skills with the ability to accurately type >35 words per minute.
  • State of Florida RN License
  • Minimum 5 years of recent hospital experience
  • BSN preferred
  • ICU, CCU, or strong Med/Surg. Experience preferred.  
  • Utilization Review or coding experience preferred
  • CCDS – Certified clinical documentation specialist preferred
Job Summary:

The CDS is responsible for reviewing medical records to facilitate the accurate representation of the severity of illness.  This involves extensive record review, interaction with physicians, HIM professionals and nursing staff.   Active participation in team meetings and education of staff in the CDMP® process is a key role.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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