Registered Nurse - Clinical Documentation Team Lead - Full Time - Days - Ocala at AdventHealth

Date Posted: 8/9/2020

Job Snapshot

  • Job Schedule
  • Location:
    Tampa, FL
  • Date Posted:
  • Job ID:
  • Job Family
    Clinical/Medical Informatics
  • Travel
    Yes, 75 % of the Time
  • Shift
    1 - Day

Job Description


Registered Nurse Clinical Documentation Integrity Team Lead AdventHealth Ocala

Location Address: 1500 SW 1st Ave Ocala, Florida 34471

Top Reasons to Work at AdventHealth Ocala

  • Horse Capital of the World
  • Driving distance to Gainesville, St. Augustine, Orlando, Tampa, Sarasota
  • Part of the community since 1898, providing healthcare to Marion County for over 120 years
  • Florida Hospital Ocala offers a broad spectrum of services, with programs that are nationally recognized and accredited
  • Spectacular springs throughout the county

Work Hours/Shift:

Full Time/ Days 

You Will Be Responsible For: 
  • Ensures competency of Clinical Documentation Specialist staff by conducting on-going reviews and skills assessments; provides action plans and timely constructive feedback, as needed, to enhance staff development; leads hiring, training and performance management processes for all site-based CDI employees; coaches, mentors and empowers employees to complete tasks by providing information and support.  Assists in the development of policies and procedures for the CDI program.
  • Develops/utilizes educational programs to keep the Clinical Documentation Specialist/physicians/service lines/advisor up to date on regulatory changes and/or identified gaps pertaining to specified dx, topics, DRG’s and denials.
  • Acts as a direct contact for the Physician Documentation Improvement designee (physician advisor) and site administration.
  • Develops ongoing documentation improvement education programs based on regulatory changes or updates and internal quality audits for site CDS.
  • Partners with coding leadership related to accuracy of final DRG assignments.  Provides input as needed for monthly CDI/Coding Task Force Mtg.
What You Will Need:
  • RN/ASN
  • BSN preferred
  • One year of experience as a Clinical Documentation Specialist.
  • Minimum of five years nursing experience in either Med/Surg or Critical care
  • Achieves 70% or greater on annual JA Thomas Clinical Competency Assessment.
  • Valid/current FL RN license.
  • CCDS (Certified Clinical Documentation Specialist) within one year of acceptance of position
Job Summary:

Oversees site-based Clinical Documentation Integrity (CDI) program; monitors and maintains the timeliness of workflow, productivity, and quality of the site CDI program; develops and monitors implementation of site departmental goals/objectives and supports the performance improvement process in conjunction with the Division Director CDI; assists the Division Director CDI with development of site CDI budget and work plan.

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

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