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Clinical Documentation Integrity Specialist, Full-Time, Baptist Metro Square

You'll help make sure medical records accurately reflect patient conditions and support appropriate inpatient DRG assignments.

Posted Oct 25 · 4 years of experience

Pay
Not posted
Shift and hours
Days This is a full-time day shift opportunity.
Unit and setting
Clinical Documentation Integrity (CDI) team · Hospital join our Clinical Documentation Integrity (CDI) team at Baptist Metro Square
License
NP or RN license Licensure - one of the following required:RN, ARNP, NP or PA license
Term
Permanent This is a full-time day shift opportunity.Full time

Do you qualify?

License
RN, ARNP, NP or PA license Licensure - one of the following required:
Education
ASN, BSN or MD Education - one of the following required:
Experience
3-5 years coding experience 3-5 years of coding experience required.
Experience
3-5 years acute care experience 3-5 years of experience working in an acute care setting required.
Experience
4 years acute care nursing experience Minimum of four years of acute care nursing experience.

Preferred

Certification
CDIP certification Certified Documentation Improvement Professional (CDIP).
Certification
CCDS certification Certified Clinical Documentation Specialist (CCDS).
Experience
3-5 years utilization review experience 3-5 years of utilization review experience preferred.
Also asks
3-5 years knowledge of Coding Clinic guidelines 3-5 years of knowledge of Coding Clinic guidelines preferred.
Also asks
leadership experience Leadership experience preferred.

Pay isn’t listed.

The role and schedule

Day to day
initial and concurrent admission reviews Conduct initial and concurrent reviews of patient admissions to ensure clinical documentation is accurate and complete.
Day to day
monitoring patient status assignments and tracking case progress Monitor patient status assignments and use designated, approved tools to track case progress.
Day to day
resource to physicians and coders on DRG appropriateness Serve as a resource to physicians and coding staff regarding clinical documentation and the appropriateness of inpatient DRG assignment.
Hours stated
Full-time day shift

The workplace

Baptist Health System, Inc.
Health system employer

Your fit

Questions to ask

  • Can you walk me through base pay range and differentials?
  • What should I expect for weekly hours, weekend, holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
Build questions for this role

Original listing

Posted on Baptist Health System, Inc.’s careers page.

Read full text

About Baptist Health

Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital.

Baptist Health is hiring a Clinical Document Integrity Specialist to join our Clinical Documentation Integrity (CDI) team at Baptist Metro Square, located in Jacksonville, FL . This is a full-time day shift opportunity. Our Clinical Documentation Integrity team works collaboratively with physicians, nursing, patient care providers, and coding staff to improve the quality, completeness, and compliance of clinical documentation.

In this role, you will help ensure medical records accurately reflect patient conditions and support appropriate inpatient DRG assignments. The ideal candidate brings acute care and coding experience, strong analytical skills, and the ability to collaborate with clinical teams. Clinical Document Integrity Specialist Job

Responsibilities

Facilitate improvements in the quality, completeness, and compliance of clinical documentation through collaboration with physicians, nursing, patient care providers, and coding staff. Conduct initial and concurrent reviews of patient admissions to ensure clinical documentation is accurate and complete. Ensure documentation accurately reflects patient outcomes and supports appropriate DRG assignment, to the extent agreed upon by the physician.

Monitor patient status assignments and use designated, approved tools to track case progress. Serve as a resource to physicians and coding staff regarding clinical documentation and the appropriateness of inpatient DRG assignment. Identify opportunities to improve clinical documentation and support accurate, compliant reporting of patient care.

Clinical Document Integrity Specialist

Experience

3–5 years of coding experience required. 3–5 years of experience working in an acute care setting required. Minimum of four years of acute care nursing experience. 3–5 years of utilization review experience preferred. 3–5 years of knowledge of Coding Clinic guidelines preferred. Leadership experience preferred. Clinical Document Integrity Specialist Education & Credential

Requirements

Education — one of the following required

Associate of Science in Nursing (ASN). Bachelor of Science in Nursing (BSN). Doctor of Medicine (MD).

Licensure — one of the following required

Licensed Registered Nurse (RN). Licensed Advanced Registered Nurse Practitioner (ARNP). Licensed Nurse Practitioner (NP). Licensed Physician Assistant (PA). Preferred

Certifications

Certified Documentation Improvement Professional (CDIP). Certified Clinical Documentation Specialist (CCDS). If you are interested in this Clinical Document Integrity Specialist position at Baptist Metro Square, please apply now! Responsible for facilitating the improvement in the overall quality, completeness and compliance of the clinical documentation through extensive interaction with physicians, nursing, other patient care givers and coding staff to ensure that documentation supports the DRG assigned to each case to the extent that the physician concurs

  • Ensures that the documentation used in measuring patient outcomes is accurate and complete by conducting initial and concurrent reviews on admissions
  • Monitors assignment of patient status; utilizes designated and approved tools to track progress; serves as resource to physicians and coding regarding issues related to the appropriateness for inpatient DRG assignment
  • Minimum of four years experience in acute care nursing experience, leadership preferred.

Primary Location

  • Metro Square
  • 3563 Philips Hwy
  • Jacksonville, FL 32207
  • United States of America

Nurses on this role

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