Lead Clinical Documentation Integrity Specialist

Are you a highly skilled and experienced healthcare professional looking for a leadership role that combines your expertise in clinical documentation with a passion for ensuring accuracy and integrity in medical records? If so, we have an exciting opportunity for you as the Lead Clinical Documentation Integrity Specialist at AdventHealth.As the Lead CDI Specialist, you will play a critical role in ensuring the highest quality of patient care by leading a team of dedicated professionals in reviewing and improving clinical documentation. Your expertise and leadership will be vital in identifying opportunities for improvement and implementing strategies to optimize documentation practices.To excel in this role, you must possess a thorough understanding of clinical documentation requirements, coding guidelines, and reimbursement methodologies. Additionally, strong communication and collaboration skills are essential, as you will be working closely with physicians, nurses, and other healthcare professionals to promote accurate and complete documentation.If you are a detail-oriented individual with a passion for clinical documentation integrity and a desire to make a positive impact on patient outcomes, we encourage you to apply for this exciting opportunity. Join our team and help us continue to provide exceptional care to our community.

1. Lead a team of clinical documentation integrity specialists and ensure their performance meets established standards and goals.
2. Analyze current clinical documentation practices and identify areas for improvement.
3. Develop and implement strategies to optimize clinical documentation and ensure accuracy and completeness.
4. Collaborate with physicians, nurses, and other healthcare professionals to educate and provide feedback on best practices for clinical documentation.
5. Serve as a subject matter expert on clinical documentation requirements, coding guidelines, and reimbursement methodologies.
6. Conduct regular audits to monitor compliance with documentation standards and identify opportunities for further education and improvement.
7. Keep abreast of changes in regulations and guidelines related to clinical documentation and provide training and updates to team members as needed.
8. Work closely with revenue cycle and coding teams to ensure proper coding and billing based on accurate clinical documentation.
9. Identify and address any documentation gaps or discrepancies that may impact patient care and outcomes.
10. Generate reports and provide data analysis to track and measure the effectiveness of clinical documentation improvement efforts.
11. Represent the organization in external audits and provide documentation support and guidance.
12. Mentor and coach team members to foster a culture of continuous learning and development.
13. Participate in interdisciplinary team meetings and contribute to quality improvement initiatives related to clinical documentation.
14. Collaborate with IT and other departments to implement new technology and tools to enhance clinical documentation processes.
15. Maintain a high level of professionalism and ethical standards in all aspects of the job.

According to JobzMall, the average salary range for a Lead Clinical Documentation Integrity Specialist in Hanford, CA 93230, USA is $105,000-$130,000 per year. This range can vary depending on factors such as experience, education, and specific job responsibilities.

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.