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Clinical Doc Specialist

AdventHealth

Denver, CORemoteFull-time$36.08–67.11/hrPosted 3 days agoVerified open 1 day ago

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At a glance

Compensation
$36.08–67.11/hr
Location
Denver, CORemote
Schedule
Full-time
Work Authorization
Not specified

Requirements

Credentials this posting asks for.

Adult Acute Care Nurse Practitioner (ACNPC)Registered Nurse (RN)Advanced Practice Registered Nurse (APRN)Educational Commission For Foreign Medical Graduates (ECFMG)

Job overview

AdventHealth seeks a Clinical Documentation Specialist to review and improve medical records for accuracy, compliance, and quality. The role involves data entry, critical‑thinking, education of care teams, and collaboration to ensure proper documentation. Candidates must demonstrate strong interpersonal, computer, and analytical skills, possess acute care nursing experience, and hold required nursing licensure.

Skills & qualifications

RequiredNice to have

Skills

Interpersonal SkillsVerbal CommunicationWritten CommunicationComputer SkillsKeyboarding SkillsMulti‑Software ProficiencyCritical‑ThinkingProblem SolvingDeductive ReasoningPathophysiology KnowledgeDisease Process KnowledgeTreatment KnowledgeClinical Documentation Requirements KnowledgeCoding BackgroundQuality Guidelines Knowledge

Qualifications

Adult Acute Care Nurse Practitioner (ACNPC)Registered Nurse (RN)Advanced Practice Registered Nurse (APRN)Educational Commission for Foreign Medical Graduates (ECFMG)Certified Clinical Documentation Specialist (CCDS)Bachelor's of NursingMaster's of Nursing5+ Years Acute Care Nursing ExperienceClinical Documentation Specialist Experience

Benefits

Medical Insurance
401(k) Match
Paid Time Off
Parental Leave

Full job description

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.

All the benefits and perks you need for you and your family:

  • Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

  • Paid Time Off from Day One

  • 403-B Retirement Plan

  • 4 Weeks 100% Paid Parental Leave

  • Career Development

  • Whole Person Well-being Resources

  • Mental Health Resources and Support

  • Pet Benefits

Schedule: Full time Shift: Day (United States of America) Address: 2525 S DOWNING ST City: DENVER State: Colorado Postal Code: 80210 Job Description:

  • Reviews concurrent medical records for compliance, completeness, and accuracy regarding severity of illness (SOI), risk of mortality (ROM), and quality.
  • Completes accurate and timely record reviews to ensure the integrity of documentation compliance.
  • Inputs data accurately into software, resulting in precise metrics obtained through the reconciliation process.
  • Recognizes opportunities for documentation improvement using strong critical-thinking skills.
  • Initiates and formulates CDI severity worksheets and clinically credible clarifications for inpatients, presenting opportunities for improved documentation compliance to clinical team members.
  • Transcribes documentation clarifications as appropriate to ensure documentation compliance.
  • Educates members of the patient-care team regarding documentation regulations and guidelines, including physicians, allied health practitioners, and nursing staff.
  • Communicates effectively with physicians and other healthcare providers to ensure appropriate, accurate, and complete clinical documentation.
  • Collaborates with staff to resolve discrepancies with assignments and other coding issues. Conducts well-timed follow-up case reviews on all concurrent cases, prioritizing those with clinical documentation clarifications.
  • Participates in department meetings, providing feedback on outstanding issues and presenting educational opportunities. Assumes personal responsibility for professional growth, development, and continuing education to maintain a high level of proficiency.
  • Maintains a 95% physician response rate to all valid clarifications.
  • Performs other duties as assigned.

Knowledge, Skills, and Abilities:

  • Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrates excellent physician relations [Required]
  • 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 [Required]
  • Ability to learn/develop and fine-tune the skills necessary to perform optimally as a Clinical Documentation Specialist [Required]
  • Dependable, self-motivated and pleasant [Required]
  • Utilize and demonstrate excellent critical-thinking, problem-solving and deductive-reasoning skills [Required]
  • Knowledge of pathophysiology, disease processes and treatments [Required]
  • Strong ability to organize/triage work and manage multiple priorities at once [Required]
  • Knowledge of clinical documentation requirements that identify clinical conditions or procedures [Preferred]
  • Coding background [Preferred]
  • Knowledge of quality guidelines [Preferred]

Education:

  • Bachelor's of Nursing [Preferred]
  • Master's of Nursing [Preferred]

Field of Study:

  • completed in health service administration, business administration, system performance engineering, industrial engineering, or public health

Work Experience:

  • 5+ acute care nursing experience with specific medical/surgical, intensive care, post-acute care unit, or emergency department experience. [Required]
  • Clinical Documentation Specialist experience [Preferred]

Additional Information:

  • N/A

Licenses and Certifications:

  • Adult Acute Care Nurse Practitioner (ACNPC) [Required] OR
  • Registered Nurse (RN) [Required] OR
  • Advanced Practice Registered Nurse (APRN) [Required] OR
  • Educational Commission for Foreign Medical Graduates (ECFMG) [Required]
  • Certified Clinical Documentation Specialist (CCDS) [Preferred]

Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$36.08 - $67.11 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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