Second Level Reviewer

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:

900

WINDERLEY PL City:

MAITLAND

State:

Florida Postal Code:

32751

Job Description:

Reviews concurrent medical records for documentation compliance, including completeness and accuracy for 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 and concisely into CDI Software, resulting in accurate metrics obtained through the reconciliation process. Recognizes opportunities for documentation improvement using strong critical-thinking skills and sound judgment in decision-making. Transcribes documentation clarifications as appropriate for SOI, ROM, PSI, HCCs, and HACs to ensure documentation compliance. Educates members of the patient-care team regarding documentation regulations and guidelines, including physicians, allied health practitioners, and nursing. Communicates effectively and appropriately with physicians and other healthcare providers to ensure accurate and complete clinical documentation. Collaborates with HIM staff to resolve discrepancies with DRG assignments and other coding issues. Completes well-timed follow-up case reviews on all 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. Assists in new hire orientation through precepting and mentoring. Achieves an 85% or greater on annual assessment Maintains a 97% physician response rate to all valid clarifications. Demonstrates competence in compliance audit scores. Maintains CCDS and CCS, if applicable, credentialing. 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.
• 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. [Required]
• Knowledge of clinical documentation requirements that identify clinical conditions or procedures.
• Coding background.
• Knowledge of quality guidelines.

[Preferred]

Education:

• Bachelor's of Nursing [Required]

Field of Study:

• BSN and 3 years of Clinical Documentation Specialist experience Required OR
• 4 years of Clinical Documentation Specialist experience Reuired OR
• 1 year of Second Level Clinical Documentation Integrity Specialist experience

Work Experience:

• 2+ years of clinical documentation specialist experience [Preferred]
• 5+ years acute care nursing experience with specific medical/surgical, intensive care, post-acute care unit, or emergency department experience.

[Required]

Additional Information:

N/A Licenses and Certifications:

N/A Physical Requirements:

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

Pay Range:

$72,786.83 - $135,385.27 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.