AdventHealth

Clinical Documentation Integrity Specialist

AdventHealth

Roseville, CA, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Are you a detail-oriented and analytical individual with a passion for healthcare? Do you thrive in a fast-paced and dynamic work environment? If so, AdventHealth is seeking a Clinical Documentation Integrity Specialist to join our team. In this role, you will play a critical role in ensuring the accuracy and completeness of patient records, ultimately improving the quality of care provided to our patients. We are looking for someone who possesses strong communication skills, a strong understanding of medical terminology, and a commitment to continuous learning. If you are ready to make a meaningful impact in healthcare, we invite you to apply for this exciting opportunity.

  1. Review and analyze patient medical records to ensure accuracy and completeness of documentation.
  2. Collaborate with healthcare providers to identify and clarify missing, conflicting, or inaccurate information in patient records.
  3. Conduct thorough research and investigation to resolve documentation discrepancies.
  4. Educate healthcare providers on proper documentation practices and provide ongoing support and guidance.
  5. Utilize coding and classification systems to accurately capture and report patient diagnoses and procedures.
  6. Monitor and report on documentation trends and identify areas for improvement.
  7. Stay up-to-date on industry changes and regulations related to clinical documentation integrity.
  8. Maintain a high level of attention to detail and accuracy while working in a fast-paced and dynamic environment.
  9. Communicate effectively and professionally with interdisciplinary teams and external stakeholders.
  10. Participate in audits and quality improvement initiatives to ensure compliance and quality of patient records.
  11. Collaborate with billing and coding teams to ensure accurate and timely reimbursement for services provided.
  12. Continuously seek opportunities for professional development and growth to enhance knowledge and skills.
  13. Adhere to all hospital and departmental policies and procedures.
  14. Maintain patient confidentiality and comply with HIPAA regulations at all times.
  15. Demonstrate a commitment to providing high-quality care and improving patient outcomes.
Where is this job?
This job is located at Roseville, CA, USA
Job Qualifications
  • Bachelor's Degree In Nursing Or Related Healthcare Field

  • Minimum Of 3 Years Experience In Clinical Documentation Integrity Or Related Role

  • Knowledge Of Healthcare Coding Systems (Icd-10, Cpt, Hcpcs)

  • Strong Understanding Of Medical Terminology And Disease Processes

  • Certification In Clinical Documentation Improvement (Cdip) Or Certified Coding Specialist (Ccs) Preferred

Required Skills
  • Communication

  • Time Management

  • Attention to detail

  • Analytical Thinking

  • ICD-10

  • Clinical documentation

  • Medical coding

  • Clinical Knowledge

  • Audit Review

  • Cpt

  • Drg Assignment

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • Interpersonal Skills

  • creativity

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Clinical Documentation Integrity Specialist in Roseville, CA, USA is $75,000 to $95,000 per year. This salary range may vary depending on factors such as years of experience, education level, and specific job responsibilities.

Additional Information
AdventHealth is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedApril 9th, 2025
Apply BeforeJuly 20th, 2025
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About AdventHealth

AdventHealth is a faith-based, non-profit health care system headquartered in Altamonte Springs, Florida, that operates facilities within nine states across the United States. The Adventist Health System was rebranded AdventHealth on January 2, 2019.

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