Clinical Document Specialist 1, Managed Care Network Dev Med Mgmt (BRRH) Position Available In Palm Beach, Florida

Clinical Document Specialist 1, Managed Care Network Dev Med Mgmt (BRRH) Baptist Health South Florida – 4.1 Boca Raton, FL Job Details $70,877.76 – $92,141.09 a year 1 day ago Qualifications Doctor of Medicine Medicine Inpatient Doctoral degree Medicare Managed care Mid-level Ob/Gyn Windows 3 years Surgery Medical-surgical Case management Certified Coding Specialist Bachelor of Science in Nursing Discharge planning Doctor of Osteopathy Pediatrics Computer skills DRG Full Job Description Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients’ shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact – because when it comes to caring for people, we’re all in.

Description:

Responsible for improving the overall quality and completeness of clinical documentation. Facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and medical records coding staff to ensure that appropriate reimbursement is received for the level of service rendered to all patients with a DRG based payer. Ensures the accuracy and completeness of clinical information used for measuring and reporting physician and medical center outcomes. Educates all members of the patient care team on an ongoing basis. Active participation in team meetings and education of staff in the CDMP process is a key role. Estimated salary range for this position is $70877.76 – $92141.09 / year depending on experience.

Qualifications:

Degrees:

Doctor of Medicine / DO.

Additional Qualifications:

Medical Doctor, Doctor of Osteopathic Medicine. BSN preferred. Three years of recent clinical experience in adult, pediatrics, obstetrics hospital inpatient medical, surgical and critical care setting. Knowledge of legal aspects of coding, Medicare MS-DRG, Medicaid APR-DRG assignments, utilization management, case management, discharge planning, and or managed care experience preferred. Experience using healthcare web based applications, Milliman, Interqual, etc. , preferred. Basic computer skills (familiarity with windows based software programs). Incumbents hired prior to 6/4/2023 may be a Certified Coding Specialist or a Registered Nurse to continue in a Clinical Document Spec role. Anyone hired after 06/4/2023 must be a Foreign Medical Graduate.

Minimum Required Experience:

3 Years EOE, including disability/vets